Accounts Receivable Representative

$57,637 - $62,483/Yr

One Brooklyn Health

Full-time

About the position

The Accounts Receivable Representative is responsible for managing all aspects of accounts receivables for One Brooklyn Health System. This includes billing, follow-up, customer service, and cash posting to ensure maximum reimbursement for services provided. The role emphasizes compliance with confidentiality and regulatory standards while maintaining a customer-focused approach to accounts receivable management.

Responsibilities

• Prepare claims for accurate and timely submission to both patients and third-party payers (e.g., commercial payers, HMOs, and government payers).
• Edit and submit claims through the hospital billing system. Review and mail non-electronic hard copy claims as required.
• Generate itemized bills to payers, patients and other entities.
• Perform routine follow up to payers and self-pay patients on open balances in order to effectuate collection.
• Review payer denials and payment variances and work to resolution. Submit appeals as needed.
• Liaison between third party payers and other hospital departments.
• Handle correspondence and inquiries as it relates to account payments from patients and other entities.
• Input of transactions, allowances and refunds to correct balances within the Electronic Medical Record (EMR).
• Post electronic and manual payments, denials and adjustments to patient accounts with attention to detail.
• Perform daily and monthly reconciliation and cash balancing functions.
• Resolve discrepancies in the reconciliation process and work unposted cash.
• Notify leadership of trends or problems with specific payers or contracts.
• Consistently document and note changes to patient's record and action taken on accounts within the EMR in compliance with all hospital and regulatory agency policies.
• Achieve quality and activity expectations on a regular basis.
• Other duties as assigned and needed by the department.

Requirements

• High School diploma or GED equivalent; some college preferred.
• Two or more years of healthcare revenue cycle experience.
• Experience in healthcare billing and follow-up strongly preferred.
• Proficiency with computer systems and Microsoft Office products.
• Knowledge of CPT and ICD-10 coding; knowledge of commercial and/or government payer rules.
• Ability to gather information from medical records and reports to support claim resolution.
• Well-developed problem-solving skills.
• Excellent written and oral communication skills.
• Strong customer service skills.
• Detail oriented; data and report analysis application.