A/R Representative (Physician or Hospital)

3 Neptune Rd s200 Poughkeepsie New York 12601

TITLE: Accounts Receivable Associate (follow-up)

POSITION SUMMARY:
The Accounts Receivable Associate is responsible for performance of the medical billing, insurance verification, follow up and appeal functions to ensure maximization of cash flow while improving client, payer, patient, and other customer relations.

ESSENTIAL RESPONSIBILITIES:
Analyzes and researches reasons for denied and underpaid claims.
Determines and executes best approach for resolution.
Identifies issues and trends and reports to manager.
Maintains confidential system and payer website access.
Follows QBS account management protocols and strategies.
Maintains current knowledge of all relevant systems as well as federal and state billing regulations.
Maintains current knowledge of contract terms and conditions related to claim resolution.
Corresponds with third party payers, according to established protocols, to obtain status and payment.
Communicates with clients, as needed, to expedite claim resolution.
Performs other job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/ R goals.

Candidate Profile:

Open on background looking for either Physician or hospital background
EPIC experience is a very nice-to-have skill (not required)
Good communication skills
Able to multitask
Experience working with appeals
Responsibilities/Expectations:

Following up on aged or denied claims
Working with a lot of appeals
They will be working within a client specific queue so they will know exactly what they will be working on each day/week
Expectation after training:
75-90 accounts per day (physician follow up)
40-50 accounts per day (Hospital follow up)
The sooner they can hit the ground running the better
wont be measured on this while training
understanding that days are different depending on difficulty of claim and payers
Training: (Training differs depending on the knowledge and skill of the worker)

Lasts usually for 90 days
During training they do weekly overviews of what they did right/wrong with their accounts in order to help them develop
Could turn into monthly meetings depending on how developed the worker is
They are required to be fully onsite for first 90 days
Shift/Schedule:

Flexible schedule **selling point**
8:00am-6pm - worker can choose own schedule as long as they put in the necessary hours (Once they pick there hours they need to be consistent with this
Schedule might be different during training as they will need to follow the trainers schedule
Location/Options: Poughkeepsie

In person for the first 90 days
they can go Hybrid after 90 days 2 to 3 times a week depending on meetings they have that week or can come in 5 days a week if they want