ACCOUNTS RECEIVABLE REPRESENTATIVE

Team Health - Louisville, TN

Full-time

Louisville, TN

Administrative and Support Services

About the position

The Accounts Receivable Representative position is a critical role within our healthcare organization, which has been recognized as one of the "World's Most Admired Companies" by Fortune Magazine and one of America's 100 Most Trustworthy Companies by Forbes Magazine. This position is primarily responsible for reviewing unadjudicated claims that have been billed to various carriers within the assigned Billing Group, specifically focusing on the No Activity/No Response roles. The representative will maintain accuracy and production levels to ensure that invoices are processed efficiently, contributing to the overall financial health of the organization. In this role, the representative will review the ETM task list assignments and rebill claims as necessary. They will also be responsible for posting appropriate rejection codes into the system when needed and assembling and forwarding the necessary documentation to the Senior Representative for any carrier-related issues. The representative will need to stay updated on billing practices by reviewing carrier provider manuals and reporting any consistent errors found during the review process that may affect the correct processing of claims. Additionally, the Accounts Receivable Representative will participate in department meetings with the Accounts Receivables Team and will seek guidance from Senior Representatives or Supervisors in unusual circumstances, which may include write-offs, fee schedules, and claims. This position requires a proactive approach and the ability to perform any and all duties as directed by the Senior Representative, Supervisor, and Accounts Receivable Manager.

Responsibilities

• Review ETM task list assignments and rebill claims as necessary.
• Post appropriate rejection codes into the system when needed.
• Assemble and forward appropriate documentation to the Senior Representative for carrier-related issues.
• Review carrier provider manuals for billing updates as needed.
• Report any consistent errors found during review that affect claims from being processed correctly.
• Participate in department meetings with the Accounts Receivables Team.
• Seek guidance from Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
• Perform any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager.

Requirements

• Six months medical billing experience
• Knowledge of physician billing policies and procedures
• Computer literate
• Ability to work in a fast-paced environment
• Excellent organizational skills
• Ability to work independently