Medical AR Follow Up/Revenue Cycle Representative

Road West Easton, PA; Cherry Hill Township (NJ); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Paid Time Off

Paid Holidays

Medical Insurance

Dental Insurance

Life Insurance

Short-Term Disability

Long-Term Disability

401(k) Plan with company match

Job summary

PATHS, LLC is seeking a Medical AR Follow Up/Revenue Cycle Representative on site to support patients and healthcare clients by resolving billing issues, ensuring accurate documentation, and driving timely revenue recovery.

Ideal candidates have Medicaid knowledge, familiarity with insurer portals, and experience with CMS-1500 claims; EPIC/Navinet exposure is a plus. Strong communication, teamwork, and HIPAA compliance are essential.

Qualifications

• High school diploma or GED required; secondary education preferred.
• Minimum 1 year of medical billing follow-up experience required.
• Knowledge of CMS-1500 claim form for physician billing required.
• EPIC follow-up experience preferred.
• Navinet/EPIC experience is a plus.
• Proficiency with HIPAA and healthcare regulations.

Responsibilities

• Export, import, and submit claims between systems.
• Resolve billing discrepancies and denials promptly.
• Analyze EOB/ERA and act per client guidelines.
• Follow up with insurers via calls or payer portals.
• Identify trends and research payer policies for management.
• Correct and resubmit claims.
• Document data entries and monitor AR follow-up queues.
• Perform other duties as assigned.

Skills

Medicaid knowledge

Insurance carriers portals

CPT & ICD-10 codes

Productivity goals

Interpersonal skills

Microsoft Office

Organization & detail

Research & problem solving

Education

High school diploma or GED

Tools

Navinet

EPIC

Outlook

Word

Excel

Job description

Job Title: Medical AR Follow Up/Revenue Cycle Representative- On Site

Department: Follow Up

Report To: Follow Up Manager

Schedule: Monday-Friday: 8 AM-4:30 PM or 8:30 AM- 5PM

Job Summary

Example: The Medical AR Follow Up/Revenue Cycle Representative supports PATHS’ mission by assisting patients and families in securing appropriate health coverage, resolving billing issues, and advocating for financial resources. This role ensures accurate documentation, compliance with HIPAA and healthcare regulations, and contributes to timely revenue recovery for PATHS’ provider clients across multiple states.

Company Information

Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee.

Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 450 employees and that serve over 100 clients. Our team has built flourishing long-term partnerships with clients and staff by cultivating a great experience.

Essential Duties & Responsibilities

• Exporting, importing and submitting claims from one system to another system
• Resolve billing discrepancies and denials/rejections promptly and efficiently
• Analyzing/understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client
• Follow-up with insurance companies via phone calls or payer portals on denials/payments
• Ability to find trends and able to research payer policies/guidelines to provide back to the management team
• Correcting and resubmitting claims
• Documentation and data entry
• Able to monitor accounts receivable follow up work queues/reports
• Other duties as assigned

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Skills & Abilities

• Working knowledge of Medicaid
• Familiarity with various insurance carriers and online portals
• Understanding of medical terminology including CPT and ICD-10 codes
• Ability to meet productivity goals
• Excellent interpersonal skills both written and verbal
• Working knowledge of Microsoft applications: Outlook, Word, and Excel
• Organized, detail oriented, strong problem solving and research skills

Education & Experience

High school diploma or GED required; secondary education preferred
Working knowledge of an EMR system Navinet / EPIC experience is a plus!

Minimum 1 year of medical billing follow up experience required

Knowledge of a CMS-1500 claim form for Physician Billing required

EPIC follow up experience- preferred

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Frequent movement in hospital or office settings, including walking between patient rooms and departments.
• Occasional lifting of up to 15 pounds.
• Must have reliable transportation and valid driver’s license for travel to client sites as required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pre-Employment Requirements

Offers of employment are contingent upon successful completion of applicable screenings consistent with federal, state, and local laws.
Screenings may include: background check, drug screen, physical exam, PPD screening, and verification of immunization records (role‑specific).
Employment eligibility will be verified through I-9/E-Verify.
Because PATHS operates in the healthcare industry, certain screenings (e.g., OIG/GSA exclusion checks, state Medicaid exclusion lists) may be conducted on a recurring basis as required by federal and state law, client contracts, and hospital compliance programs.

Compensation & Benefits

Compensation: $18.00 – $24.00/hour
Benefits include: Paid Time Off, Paid Holidays, Medical, Dental, Life Insurance, Short-Term Disability (STD), Long-Term Disability (LTD), and a 401(k) Plan with company match.

EEO & Compliance Statement

PATHS is an Equal Opportunity Employer and complies with all applicable federal, state, and local employment laws. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, or any other status protected by applicable law. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.