A/R Rep

High school graduate or GED certificate required; Associate degree preferred
3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred
1-2 years EPIC Practice Management experience preferred
Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions)
High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications)
Advanced keyboarding skills

Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.
Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
Maintains working knowledge of payor policies applicable to assigned work group.
Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
Works Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
Works with all other revenue cycle departments and practices to resolve any outstanding encounters.
Maintain productivity and quality standards as set by CBO leadership.
Maintains an acceptable average ‘Quality Review’ score as set by CBO quality and productivity policy.
Maintains an acceptable productivity average of 90% or greater.
Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.