Accounts Receivable Representative

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee all patient, client, and insurance billing processes for the medical facility.

• Maintain a thorough understanding and application of third-party payer billing regulations.

• Ensure that financial and demographic data is accurate and comprehensive.

• Properly apply allowances, discounts, and co-payments.

• Process insurance payments to patient accounts using a computerized system.

• Obtain prior authorizations and conduct patient benefit investigations.

• Reach out to accounts, physicians, or patients to gather any missing billing information.

• Re-bill insurance companies or other third parties to ensure payment is received.

• Assist in training staff on the computerized billing system.

• Maintain the department's Standard Operating Procedures.

• Address patient/client billing and statement inquiries via phone or mail.

• Obtain and send out invoice copies upon request.

• Research and handle customer claims regarding invoice payments.

• Respond to accounts receivable phone inquiries and follow up with patients/clients.

• Identify overpayments by insurance or patients and submit refund request forms.

• Investigate insurance denials to maximize reimbursement opportunities.

⛳️ Requirements

• High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination of education and experience.

• Preferred experience with health insurance companies.

• Ability to read and understand simple instructions, brief correspondence, and memos.

• Capability to write simple correspondence.

• Ability to effectively present information in both one-on-one and small group settings.

• Proficiency in performing basic arithmetic and computing rates, ratios, and percentages.

• Ability to apply common sense to follow written, oral, or diagrammatic instructions.

• Basic computer skills, including familiarity with Windows, medical record software, and MS Office.

• Proficient data entry skills, achieving 40–50 words per minute.

• Basic knowledge of standard office equipment.

• No certifications are required.

🏝️ Benefits

• Equal opportunity employer.

• Benefits are included among personnel programs, though no specific benefits are detailed.