Accounts Receivable Representative

Company Overview

National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.

Position Summary

The Accounts Receivable Representative is responsible for collecting outstanding accounts receivable from patients and third-party payers.

Essential Duties and Responsibilities:

• Phone insurance companies for status on outstanding claims.

• Process and follow up on appeals to insurance companies.

• Phone patients for payment or payment arrangements on outstanding balances.

• Print and re-file claims as needed.

• Work correspondence daily.

• Answer incoming patient, insurance company and physician office telephone calls.

• Research/audit patient accounts for further payment or adjustments

• Work Analyzer reports as assigned.

• Maintain basic proficiency with using spreadsheets.

• Work outstanding Accounts Receivable from Collector Queue with proficiency within 30-60 days employment.

• Must be able to work 40-50 accounts daily.

• Maintain accuracy rating of 90% or greater on audited accounts.

• Meet productivity standards as set by the department.

• Maintains strictest confidentiality.

• Adhere to all company policies and procedures.

• Adherence to and compliance with information systems security is everyone's responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.

Non-Essential Duties and Responsibilities:

• Perform other duties as assigned.

Qualifications

Education/Licensing/Certification:

• High-school graduate or equivalent.

• Associate or bachelor's degree in business administration or related field of study is preferred.

Experience:

• Two years of collection experience required. Prefer experience in a health care organization.

Knowledge and Skills:

• Skill in verbal and written communication.

• Basic math skills for calculating anesthesia units and proper reimbursement

• Medical terminology

• Basic knowledge of insurance processing, guidelines and laws

• Knowledge of TWCC guidelines and laws

• Knowledge of managed care, Medicare and Medicaid guidelines

• Data entry skills.

• Knowledge of CPT, ICD-10 and ASA codes

• Good problem solving skills

• Decision making ability

• Strong analytical skills

• Skill in gathering and reporting information.

• Ability to work effectively with staff, physicians and external customers.

• Must have a pleasant disposition and high tolerance level.

• Must be able to work as part of a team

• Ability to work independently with limited supervision.

• Skill in computer applications including MS Word, MS Excel and Compass 21.

Advantages of Working at NPH

• Competitive Pay and Benefits Package

• Annual Bonus

• Generous Paid Time Off

• 401K Contribution/Safe Harbor

• Flexible Work Environment

• Career Advancement Opportunities with a Growing Company

• On-site Fitness Center and Café

• Underground Parking with Badge Access

Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and will vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that NPH provides to compensate and recognize our staff for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package.