AQuity Solutions

Job Details

Description

Job Summary:

The Insurance Account Receivable Representative is responsible for timely and effective AR follow-up

with medical insurance institutions for medical claims. The AR rep will review, analyze, and obtain

necessary information from the payers to maximize collections from the outstanding AR and to

document the notes clearly in the billing and workflow systems. The AR rep will also need to coordinate

with Internal Offshore Team and with the Client to obtain relevant information to expedite the

collections process.

Key Responsibilities

• Adhere to Billing Guidelines and Policies
• Knowledge of Insurance rules and guidelines for Medicare and Medicaid.
• Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next

Level

• Identify the root cause for Rejections and Denials and escalate to appropriate team to take

action

• Identify the Responsible Payer Accurately and Bill / Appeal Claims
• Perform timely follow-up with payer and ensure required information is gathered and

documented clearly in the Billing & Work-Flow Tool

• Communicate with clinic personnel and insurance to resolve the claim in a timely manner
• Perform Ad-hoc Tasks assigned as Special Projects

Qualifications

• Strong Interpersonal, Oral and Written Communication skills
• Ability to manage multiple and simultaneous responsibilities
• Ability to prioritize the tasks and manage accounts receivables gets assigned
• Should be Resourceful and Flexible team player who excels at building trust relationships with

the customer operations

• Working knowledge of HCPCs codes related to O&P Billing
• Proficiency in computer skills including MS-Office tools like MS-Word and MS-Excel
• Proficient in EPIC Billing System and any experience in Workflow Tools is an added advantage
• Ability to work independently
• Proficiency with basic math and accounting skills
• Analytical Skills in identifying Trends impacting collections and AR

The pay rate is $22 per hour. Pay is based on several factors including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package including healthcare, 401k, and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.