Resolv PracticeMax is seeking a skilled and experienced Accounts Receivable Representative to join our team. You will work within the team to manage accurate and timely claims follow-up and accounts receivable resolution. EPIC experience preferred.
What Your Impact Will Be
- Call payer(s), utilize payer portals, utilize client clearinghouse and all other resources available to ensure resolution of outstanding claim balances.
- Update information in practice management software to ensure timely resolution of outstanding AR.
- Compile necessary information and drafts appeals to ensure resolution of denied claims.
- Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
- Follow up with appropriate resource contacts to locate and obtain missing, invalid, or incomplete information.
- Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs.
- Accountable for complex payers, aged claims, and special accounts receivable projects as assigned.
- Adhere to government regulations, payer contracts, insurance guidelines and practice specific agreements when performing insurance follow-up.
- Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts, practice agreements or governmental agency rates on individual accounts.
- Identify trends in payer non-compliance and inform management if not able to resolve with payer.
What We Are Looking For
- Team player
- Problem solver
- Critical thinker
- Detail oriented
- Computer literate
- Experience with EPIC is a preferred.
- General knowledge of claims revenue cycle and medical terminology preferred.
- Highschool diploma or Equivalent
What We Can Offer
- Opportunity for challenging projects and professional growth
- Vacation and personal days
- Comprehensive benefit package
- Lifestyle rewards
- Flexible work options
About Us
Resolv is a leader in Revenue Cycle Management and has been in business for 20+ years specializing in medical coding and billing.
