AR Representative - Medical Billing and Coding

Acentus is currently seeking a Professional Medical Biller/AR Representative to join our team!

*This is not a fully remote position. You must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period.*

As an AR Representative at Acentus, you will report directly to an AR Manager and work alongside other AR Representatives on one of our AR Teams: Commercial Payors, Horizon Payors, Managed Medicare & Medicaid Payors, Government Payors, Specialty Payors, or Eligibility. The ideal AR Representative maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery on on-time results to ensure the success of individuals and the organization.

Daily duties of an AR Representative include ensuring claim payment issues are resolved timely and efficiently, resolving EOB discrepancies, researching denials, and meeting key performance indicators (KPIs). Benchmarks and KPIs for an Acentus AR Representative include, but are not limited to: net and gross collection rates, days in AR, rejections, and percentage of AR over 90 and 120 days.

A qualified and dedicated AR Representative will:

Follow up on submitted claims for payment

Meet productivity standards and minimum requirement of at least 50-60 accounts per day

Monitor unpaid claims and resubmit claims with appropriate corrections and/or documentation

Work denied claims and resubmit replacement claim for payment

Report denial trends to management

Provide timely, accurate, and professional responses to internal, patient, and third party inquiries

Research and resolve simple to complex issues and escalate issues to management

Research no response claims and report root cause to management

Work with billing managers to resolve and prevent coding denials

Maintain and submit a detailed issues log to his/her manager to identify practice and/or payer trends

Report needed system updates to manager

Research payer policies and insurance eligibility changes and communicate changes to key personnel

Work special payor projects as assigned

Successful candidates will possess the following qualifications and skills:

Bachelor’s degree preferred, HS diploma/GED required

Minimum of 4 years’ of experience in professional medical billing or similar role

Ability to troubleshoot and problem solve in a healthcare setting

Knowledge of CPT and ICD-10 coding

Proficient understanding of HIPAA compliance practices

Prior experience utilizing billing systems and electronic medical records (EPIC preferred)

Proficient knowledge and a working understanding of Microsoft Excel and Word

Knowledge of and experience using payer tools (e.g. Navinet, etc.)

Excellent research abilities, attention to detail, and communication skills

Outstanding problem-solving and organizational abilities

Self-motivation, including multitasking and time management

Positive attitude and team player