Accounts Receivable Representative

$65,770 - $65,770/Yr

HSS - New York, NY

Full-time - Entry Level

New York, NY

Hospitals

About the position

The Accounts Receivable Representative I position at HSS is a vital role within the Billing Office, focusing on the management of denied claims and follow-up with insurance companies regarding unpaid claims. This position is essential in ensuring that the hospital collects the money payable for services provided to patients. The representative will be responsible for reviewing and processing correspondence from both patients and insurance carriers, ensuring that all claims are followed up appropriately. The role requires a keen attention to detail and a thorough understanding of the billing process, as the representative will handle primary, secondary, and tertiary claims, as well as manage denial solutions and appeals for reasons such as medical necessity and bundling. In addition to managing denied claims, the Accounts Receivable Representative I will also be tasked with credit balance management, which includes reviewing and resolving payment application errors. The representative will maintain unbilled charge reports, denial reports, and claim allocation reports, ensuring that all adjustments and updates to patient accounts are accurately annotated. This position may also involve performing other related duties as required by the A/R Manager, who the representative will report to directly. HSS prides itself on being an innovative and supportive environment, making this role an excellent opportunity for those looking to grow within the healthcare billing field.

Responsibilities

• Review and process correspondence from patients and insurance carriers.
• Follow up with primary, secondary, and tertiary 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 and 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, and claim preparation.
• Computer skills and knowledge of relevant software (Microsoft Office and Excel).
• Knowledge of medical coding is a plus.