Accounts Receivable Representative

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HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise

Accounts Receivable Representative

Full-Time

GENERAL SUMMARY OF DUTIES:

Accounts Receivable addresses the denied claims and follows up with insurance companies regarding unpaid claims. Once insurance has paid, patient responsibility is addressed with the patient. The goal of AR is to collect money payable for services provided.

PRIMARY FUNCTIONS:

• Reviews and processes correspondence from patients and insurance carriers.
• Insurance Follow-up with primary, secondary, and tertiary claims.
• Denial Management to include payer denials and denial solutions.
• Submitting appeals to carriers for reasons such as medical necessity and bundling
• Credit Balance Management to include reviewing and resolving payment application errors.
• Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports.
• Annotates adjustments/updates to patient accounts.
• Performs other related duties as required.

SUPERVISION RECIEVED:

• Reports to A/R Manager.                                                 

 REQUIRED KNOWLEDGE, CERTIFICATION / LICENSURE:

• Computer skills and knowledge of relevant software (Microsoft Office and Excel).
• Knowledge of medical coding is a plus.

QUALIFICATIONS; REQUIRED EDUCATION AND EXPERIENCE:

• Education: High School Diploma or equivalent, with some college preferred.
• Experience: Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.

TYPICAL PHYSICAL DEMANDS:

Requires ability to work independently.

Involves standing, sitting and walking. 

Requires normal vision and hearing. 

Normal office environment.