Accounts Receivable Representative, Business Office Boca Raton, Part

Responsible for assisting in the increase of cash collections and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician office contact. Understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements. Understand and follow processes needed to ensure clean claims are submitted timely using a third-party claim editor system. Responsible for the compliant resolution of moderate to complex third party claim edit rejections in the patient accounting system and the billing editor. Responsible for submitting claims and following up with insurance companies. Analyzes, oversees and evaluates patient account payer denials and rejections. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances.

Degrees: High School, Cert, GED, Trn, Exper Additional Qualifications: Two years related experience and/or training (one year in billing and/or collections experience in healthcare collections preferred). Minimum Required Experience: UB04 hospital billing and collection experience for both Medicare and Managed Care payers

Schedule: Part-time