Accounts Receivable Representative I

$71,843 - $71,843/Yr

HSS - New York, NY

Full-time - Entry Level

New York, NY

Hospitals

About the position

The Accounts Receivable Representative I at Hospital for Special Surgery is responsible for resolving customer issues related to accounts receivable in a timely and effective manner. This role involves handling a high volume of incoming calls, coordinating with various hospital departments, and managing patient accounts, including making collection calls and processing payments. The representative will also engage in denial management and appeals submission, ensuring customer satisfaction and efficient billing processes.

Responsibilities

• Resolve customer issues/problems in a timely and effective manner.
• Handle a high volume of incoming calls from patients and insurance carriers.
• Coordinate with hospital departments, MD offices, and outside agencies to ensure customer satisfaction.
• Make outgoing collection calls and prepare patient refunds.
• Accept credit card payments and establish payment plans.
• Review and process correspondence from patients and insurance carriers.
• Follow up on primary, secondary, and tertiary insurance claims.
• Manage payer denials and develop denial solutions.
• Submit appeals to carriers for reasons such as medical necessity and bundling.
• Manage credit balances by reviewing and resolving payment application errors.
• Review and maintain unbilled charge reports, denial reports, and claim allocation reports.
• Annotate adjustments/updates to patient accounts.
• Perform other related duties as required.

Requirements

• High School Diploma or equivalent, with some college preferred.
• Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.
• Computer skills and knowledge of relevant software (Microsoft Office and Excel).
• Knowledge of medical coding is a plus.

Benefits

• Competitive salary of $34.54 per hour.
• Eligibility for additional benefits consistent with the role.