America's Job ExchangeAJE

SUMMARY
Processes accurate invoices in a timely manner and collects outstanding accounts receivable to help the Company to achieve its cash flow goals, minimize DSO (Days Sales Outstanding), and minimize billing adjustments and write-off’s. Compiles data and processes bills for accuracy by performing duties which include reviewing accounts and conducting collection activities. Focuses on outstanding accounts receivable, investigates and resolves denied claims, and communicates with customers and third party payors.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
• Perform order confirmation within required time frame, according to insurance requirements
• Review invoices for completeness and correctness prior to invoicing
• Obtain necessary insurance authorizations as required and document according to Company’s standard operating procedures
• Review unbilled revenue, resolve issues including obtaining and documenting required medical forms/authorizations
• Review accounts receivable aging reports and resolve outstanding unpaid balances
• Recommend and enter billing adjustments and accounts receivable write-off’s into system for approval
• Update customer files as needed when changes occur
• Respond to requests for information in a professional manner and within department’s required timeframes
• Maintain rapport with internal and external customers.
• Demonstrates knowledge of current applicable insurance reimbursement regulations and guidelines.
• Report payor trends and issues to immediate supervisor and appropriate department/PMC personnel.
• Participate and comply with Continuous Quality Improvement recommendations
• Comply with standards and policies of the Company.
• Perform duties to comply with State and Federal regulations.
• Maintain patient confidentially at all times, including but not limited to HIPAA requirements
• Perform other related duties as directed.


QUALIFICATIONS

• Minimum of Associates Degree in Business, Finance, or similar field, or commensurate experience.
• Demonstrated proficiency in written and verbal communication skills
• Demonstrated proficiency in critical thinking, and problem solving
• Demonstrated ability to exercise professional judgment to reasonably predict the results of actions taken
• Familiarity with data entry and computer skills
• Familiarity with Microsoft Outlook, Word, and Excel
• Demonstrate ability to utilize mathematical concepts to compute/audit invoice data

Job Benefits