"Alerted.org

SECTION I

BASIC FUNCTION:

The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients.

SECTION II

EDUCATION AND EXPERIENCE REQUIREMENTS:

Education: High School Diploma or Equivalent required. Associate’s degree preferred.

Experience: 2 years of accounts receivable experience a hospital or healthcare setting preferred.

Knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding preferred.

Windows-based software required, including but not limited to Microsoft Windows, Excel and Word preferred.

Ability to learn/ retain and act on medical billing processes and guidelines. Communication (verbal, written and phone), interpersonal and positive customer relations skills required.

Certification: n/a

SECTION III

PHYSICAL REQUIREMENTS:

+ Should be able to push/pull, lift/move 15 lb., be able to perform moderately difficult manual manipulations such as using a keyboard, writing, and filing for extended periods of time, must be able to perform tasks which require hand-eye coordination such as data entry, typing and using photo copiers. Mobility requirements may include the ability to be stationary at a workstation for a prolonged period time in addition to being able to squat or be mobile for a reasonable length of time and distance. Communication requirements include the ability to comprehend the spoken English language in addition to being able to communicate and read the English language.

SECTION IV

RESPONSIBILITIES OF THE POSITION:

+ Maintain patient account records assigned including but not limited to accurate and compliant billing to patients and insurance companies, insurance and patient payment follow up and insurance denial response.

+ Maintain accurate patient accounting records including a written description of steps taken to resolve accounts and accurate financial postings.

+ Appropriately research and respond to patient inquiries in a timely manner

+ Escalate account resolution issues via insurance company portal, customer service phone line or insurance company provider representative.

+ Know the follow up/ denial level process for each payer being worked.

+ Escalate problematic accounts to leadership team as per workflow process.

+ Follow Ellis policy regarding computer/ software usage

+ Adhere to patient privacy policies and procedures, maintain confidentiality.

+ Adhere to all Ellis policies and procedures

+ Adhere to all billing regulatory guidelines

+ Additional duties as assigned.

SECTION V

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex/gender, age, national origin, disability, genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, or domestic violence victim status.

Salary Range: $16.63-24.11/hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.