Job Description:

Conducts appropriate account activity on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continues collection activity until account is resolved, sent to Legal, or
disputed. Responsible for maintaining inventory on desks with no backlog. Ensure daily productivity standards of assigned accounts are met.
Requests additional information from Patients, Medical Records, and others upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
Updates Plan IDs and Patient/Payor demographic information; posts notes and memos to accounts; identify payor issues and trends; and solve recoup issues. Returns accounts to Appeal Writers for next level appeals as needed.
Identifies payor trends in payment delays and escalates issues to Supervisor
Conducts collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Provides ongoing appropriate collection activity on appeals until the payer has responded to the appeal.

Qualifications:

Work Arrangement

We Offer

AR Collections Representative

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