Randstad Accounts Receivable Representative in West Des Moines, Iowa
Accounts Receivable Representative
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location:West Des Moines, IA
salary:$15 - $20 per hour
date posted:Monday, September 11, 2017
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Performs claims follow-up by working assigned physicians' aged trial balances in accordance of timely filing deadlines.
Coordinates resubmission of claims to third party payers electronically or via hard copy mail with Coding & Billing Department personnel when follow-up indicates such an action is necessary.
Submits appeals with supporting documentation when situation warrants such action.
Processes denials by reviewing zero pay EOBs. Distributing and/or following up on denials to appropriate personnel for follow-up.
Process Clearing House rejections.
Identifies denial trends and works with claims representatives in third party payer offices to resolve issues. When situation warrants, enlists support and approval of a Supervisor in escalating issue/concern to provider representative in third-party payer's office and/or VP of Payer Relations.
Ensures process issues (i.e., incomplete and/or incorrect data entry upon patient registration) resulting in denials and/or claims delays are brought to the attention of a Manager's attention to bring about necessary process changes.
Shares updated information from third-party payers with Manager to assist in ongoing training of department personnel.
Proactively communicates with Manager throughout the month regarding A/R follow-up activities and workflow priorities.
Works credit balances related to third-party payers by notifying payers that suspected overpayments exist, obtaining refund request letters from payers, filling out refund request forms and pulling supporting documentation.
Capably handles phone calls, facilitating patient questions, screening and routing to appropriate staff member.
Maintains HIPAA patient confidentiality standards for medical and financial information.
Participates in third-party payer meetings and training to maintain up-to-date job knowledge.
Working hours: 8:00-5:00pm
--High School diploma or equivalent, and or College coursework
--At least 3 years of experience with insurance billing, account follow-up procedures, payment posting, ERA and electronic processing
--Strong communication and interpersonal skills
--Proficient in Microsoft Office Suite, including Excel
--Proven ability to be resourceful and collaborative
Previous experience in medical billing industry
Understanding of medical coding
Organizational and time management skills
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