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Accounts Receivable Representative in Phoenix, AZ at Preferred Homecare | LifeCare Solutions

Date Posted: 4/17/2018

Job Snapshot

  • Employee Type:
  • Location:
    Phoenix, AZ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Position Summary: Performs administrative and reimbursement functions at the regional billing office.
Education/Experience: High school diploma or GED equivalency. Minimum of two years reimbursement and/or insurance experience preferred. Infusion, Home Health, or DME experience preferred. Strong interpersonal, communication, and organizational skills.
Reports to: Reimbursement Supervisor FLSA: Non-Exempt
ADA Requirements:
MENTAL DEMANDS: Proven skills in critical thinking and problem solving, strong analytical, numerical and reasoning abilities. Detail oriented and responsible. Flexible and innovative thinking. Uses good judgment and works well under pressure. Able to prioritize and handle multiple tasks.
PHYSICIAL DEMANDS: Occasional climbing, balancing, stooping, and crouching. Frequent standing, walking, and sitting. Must be able to occasionally lift 10 pounds.
MATERIALS AND SPECIAL EQUIPMENT USED: Telephone, computer, printer, fax machine, photocopier, and calculator.
ENVIRONMENTAL CONDITIONS: Work is generally performed in normal office conditions, with good lighting and proper ventilation.
Duties and Responsibilities
  • Process Medicare claims & invoices
  • Process Incoming Audit Requests
  • Review/Maintain Payer Pricing and Setup
  • Perform scheduled follow up on accounts by working the aging account balances
  • Submit complex appeals for Medicare claim denials
  • Conduct regular follow up on unresolved appeals
  • Research contracts & insurance payer requests
  • Understand medical terminology
  • Interpret medical documentation & explanation of benefits
  • Provide coordination of billing activities among peers, including recognition of problems and researching for the supervisor or manager
  • Decipher claim denials & problem solve to turn over denials

  • Excellent interpersonal, problem solving & judgment skills with a high level of attention to detail and accuracy
  • Strong organizational, written & verbal communications skills with the ability to speak concisely over the phone
  • Ability to work independently and adapt to an evolving environment
  • Self-starter
  • Great ability to multi-task
  • Ability to work independently & as part of a team
  • Experience in health insurance, medical terminology & coding
  • Working knowledge of Medicare, Medicaid and commercial insurance companies as it relates to claims submission, benefits & appeals
  • Great Math skills
  • Good reading comprehension & contract interpretation
  • Understand appeal and denial process
  • Flexible and adaptable
  • Ability to work with others inside and outside the department