Accounts Receivable Representative

The Accounts Receivable (AR) Representative will be responsible for reviewing aging insurance account balances and resolving claim issues with insurance and/or patient. Responsible for maintaining AR queues at a reasonable age-base date as defined by management. AR Representatives may also be asked to review and appeal denied office-based claims for bundling and coding-related issues. Provides follow-up and feedback to management regarding assignments. Responsible for timely follow-up on all appeal submissions. AR Representatives will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests. The AR Representative must possess excellent verbal and written communication skills. Professional verbal and written communication etiquette is essential due to the continuous interaction with insurance companies, patients, and physicians on a regular basis.

AtOrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolinahas 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit https://www.orthocarolina.com/about-us

We are currently searching for an Accounts Receivable Representative (Medical Billing)tojoinourRevenue Cycleteamin theOrthoCarolinaBusiness Office in Charlotte.

This position is a hybrid schedule with rotating days in the office depending on department needs.

The role of Accounts Receivable (AR) Representative with our team, you willbe responsible forreviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient.

Essential Functions:

• Maintaining AR queues at a reasonable age-basedate as defined by management.

• A/R Representatives are also responsible for reviewing and appealing denied medical claims for bundling and medical coding-related issues.

• Responsible fortimelyfollow-up on all appeal submissions.

• A/R Representatives will also be involved inprocessing ofcorrected claims andassistingwithtimelyturnaround for medical documentation requests.

• Providing follow-up and feedback to managementregardingassignments.

Skills and Abilities:

Qualifications:

• High school graduate or GED.

• One-year certificate from college or technical school preferred.

• Certified Professional Coder (CPC) preferred.

Or Experience plus certification:

• Three years of accounts receivable experience, preferred

• One year of experience in a health care organization.

• Working knowledge of ICD 10required.

• Certified Professional Coder (CPC) preferred.

Employee Type

Regular

Qualifications

Skills

Billing, Claims Administration, Claims Processing, Health Insurance, ICD Coding, Insurance Claims Processing, Organizing, Reimbursement

Education

High School

Certifications

Language

Work Experience

Healthcare Experience