Accounts Receivable Representative

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Description

JOB SUMMARY

The Accounts Receivable Representative for Value-Based RCM, Inc. (VBRCM) is responsible for resolving payer insurance denials as a third‑party, identifying trends and payer requirements, to prevent future denials.

• Denial Resolution
• Process Improvement (Continuous Mitigation)
• Payer Rules and Regulations

• Identify payment and denial trends and communicate to Supervisor and/or Team Lead
• Perform necessary follow‑up to ensure timely resolution of appeals, obtain updated insurance information, identify, and correct billing errors, etc.
• Independently identify and communicate (verbal/written) denial reasons and steps towards resolution
• Handle client, payer, and patient inquiries in a timely and detailed manner
• Maintain working knowledge of current Medicare, Medicaid, and third‑party billing, claim form, and appeal requirements
• Maintain current working knowledge of CPT and ICD‑10 codes, required modifiers and encounter data, Explanation of Benefits (EOB) reason and remark codes
• Preserve accurate and timely notes in billing system(s), ensuring a clear understanding of the activity transpired
• Utilize payer web sites and/or portals
• Meet department productivity and quality standards
• Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
• Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Perform other duties as assigned

• Excellent problem solving and communication skills
• Working knowledge of CPT and ICD‑10
• Ability to work independently and as part of a team
• Working knowledge of medical terminology preferred
• Strong computer, typing and calculator skills
• Ability and desire to work in a remote environment
• Strong organizational skills and attention to detail

• High school diploma or GED
• Previous medical billing experience required
• Proficient in Microsoft office (Excel, Word, and PowerPoint)

• Prolonged periods sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

JOB TYPE :
Full‑time

HOURLY RATE : $19 - $24 per hour

JOB LOCATION :
Work from Home

• Flexible Paid Time Off
• Flexible schedule
• Work from home
• 401K Plan with 4% company match
• Company‑sponsored medical, dental, and vision insurance
• Company‑paid long‑term disability, short‑term disability, and life insurance

• Entry level

• Full‑time

• Accounting/Auditing and Finance

• Hospitals and Health Care