Accounts Receivable Representative

Community Ambulance Company - Henderson, NV

Full-time - Entry Level

Henderson, NV

Ambulatory Health Care Services

About the position

The Accounts Receivable Representative at Community Ambulance plays a crucial role in the revenue cycle management by ensuring timely collection and follow-up on claims submitted for payment. Under the guidance of the Revenue Cycle Director and the Billing Manager, the representative is responsible for a variety of tasks that include performing collection activities, billing, posting payments, and conducting simple arithmetic computations. The work is performed according to established procedures and is subject to regular review and monitoring to ensure compliance and efficiency. In this position, the representative will handle appeals and denials, resubmit claims, and follow through on all outstanding balances. This involves searching for patient demographics and insurance information, running collection reports for unpaid claims, and reviewing invoices for accuracy and completeness. The representative will also prepare credits or refunds when necessary and forward them to accounts payable. A key aspect of the role is determining if additional documentation is required to process claims and obtaining that documentation prior to submission. The representative must possess knowledge of how to post and collect payments, as well as how to resolve unpaid claims. Effective communication with insurance companies and patients regarding claims is essential. The role requires the ability to meet productivity standards and goals while demonstrating a continuous effort to improve operations, decrease turnaround times, and streamline work processes. Providing quality, seamless customer service is a fundamental expectation of this position.

Responsibilities

• Perform collection and follow-up activities related to claim payment for all claims submitted.
• Handle billing, posting payments, and perform simple arithmetic computations.
• Manage appeals and denials, resubmit claims, and follow through on outstanding balances.
• Search for patient demographics and insurance information.
• Run collection reports/workflows for all unpaid claims.
• Review, correct, and classify invoices for accuracy and completeness.
• Prepare credits or refunds when required and forward to accounts payable.
• Determine if additional documentation is required to process claims and obtain it prior to submission.
• Communicate with insurance companies and patients regarding claims.
• Resolve unpaid claims and meet productivity standards and goals.

Requirements

• Minimum 2 years' experience in a similar role.
• High School diploma or equivalent.
• Understanding of Zoll software, Waystar, and Sansio preferred.
• Knowledge of CMS regulations and electronic claim submissions.
• Familiarity with remittance procedures and electronic posting.
• Understanding of commercial insurance claim requirements.
• Highly organized with excellent customer service skills.
• Proficient in Microsoft products, specifically Excel and Word.
• Excellent written and verbal communication skills required.
• Computer proficiency preferred.

Nice-to-haves

• Experience with HIPAA regulations.
• Established interpersonal skills.