Accounts Receivable Billing Representative - PRN Weekdays - Hybrid

Accounts Receivable Billing Representative - PRN Weekdays - Hybrid

Veterans in Healthcare is hiring an Accounts Receivable Billing Representative (PRN weekdays, hybrid). This part‑time role is based at Corporate Plaza.

Job Category:
Revenue Cycle
Work Shift/

Schedule:

Varies

The Accounts Receivable Billing Rep is responsible for accurate and prompt follow‑up of unpaid or denied claims/charges. The Rep provides outstanding customer service to patients and staff, researches difficult accounts, reports denial trends to management, and stays current with all assigned payer updates.

As stated above, the primary duties revolve around claim follow‑up, patient customer service, payer communication, and maintaining accurate billing records.

• Licensure or other certifications: (not specified)
• Educational Requirements:
  
  High School Diploma or GED
• Minimum Experience:
  
  2 years of Medical Physician billing, collections and/or reimbursement (authorizations, charge entry, claims management, payment posting and accounts receivable)

• Preferred Licensure or other certifications: CPC certification
• Preferred
  
  Educational Requirements:
  
  (not specified)
• Preferred Experience:
  
  (not specified)

• Thorough knowledge of patient billing, billing transmission and electronic billing systems, including Medicare, Blue Cross, United Health Care, Medicaid, commercial insurance and HMO carriers.
• Knowledge of medical terminology and ICD‑9/CPT coding; competency in coding CPT and ICD‑9 related to reimbursement.
• Strong written and oral communication skills; positive interpersonal relations with employees, supervisors, physicians and management.
• Ability to interpret third‑party coverage, patient responsibility and evaluate a patient’s financial condition.
• Knowledge of processes for billing professional services in hospital and office settings and appeals processes for different payers.
• Knowledge of electronic billing systems and EMR’s.
• Ability to work and resolve problems independently and demonstrate task completion.
• Understanding of CBO Policies and Procedures, NGHS handbook and Medicare/commercial waivers.
• Competency in use and maintenance of computer equipment, printers, telephone system, facsimile machines; basic PC applications.

• Maintain current knowledge of regulations, insurance coverage, rejection codes and billing requirements.
• Ensure secondary billing on accounts with secondary liability and follow‑up unpaid balances.
• Provide corrected data and resubmit claims as necessary.
• Respond to patient and third‑party inquiries/complaints via telephone, mail or in person.
• Maintain/improve productive third‑party relationships.
• Ensure denied services are appealed or processed for write‑off if applicable.
• Report possible write‑offs to Practice/Billing Manager.
• Work closely with billing personnel and the Management in following up accounts.
• Review/analyze patient accounts and take needed actions to resolve issues (adjustments, refunds, etc.).
• Provide highest‑level customer service and resolve complaints regarding insurance billing.
• Update demographic and insurance information on patient accounts.
• Inform Central Business Office of billing updates, documentation guidelines, and reimbursement/contract administration.
• Serve as liaison with payers, collection agencies and patients; answer questions and meet with insurance reps regularly.
• Follow through on billing problems to conclusion.
• Resubmit insurance claims as required.
• Maintain workflow integrity and timeliness; document account load progress.
• Collect and review patient insurance information needed for billing.
• Complete necessary insurance forms (e.g., HCFA 1500).
• Submit paper claims and supporting documentation as required.
• Work CBO reports in a timely manner and turn in to Supervisor/Manager on designated dates.
• Report any problems, concerns, trends or issues to Supervisor/Manager.
• Maintain updated resource manuals and related materials.
• Ensure integrity, confidentiality and security of patient records.
• Assist center Practice Administrators with reimbursement issues.
• Help…