Remote Accounts Receivable/Billing Representative - USA
We are seeking a highly skilled and motivated Accounts Receivable/Billing Representative to join our team at Clinical Health Network for Transformation (CHN). As a key member of our Revenue Cycle team, you will play a critical role in ensuring the timely and accurate submission of electronic claims, resolving outstanding balances, and providing exceptional customer service to our patients and insurance payors.
In this full-time, remote position, you will report directly to the Revenue Cycle Manager and be responsible for a range of activities, including charge entry edits, payment posting, and account resolution. You will utilize your strong analytical and problem-solving skills to resolve pre-bill claim edits, review daily clearinghouse rejections, and reconcile insurance and patient credit balances/overpayments.
As a representative of CHN, you will be committed to advancing health and race equity in our organization and communities. You will demonstrate a strong sense of accountability to equitable practice, excellent communication and interpersonal skills, and a commitment to learning about and enhancing practices related to racial equity.
Key Responsibilities:
- Resolve pre-bill claim edits and ensure claims are clean and submitted daily
- Review daily clearinghouse rejections, resolve, and resubmit accounts
- Post all insurance and patient payments received through automated and manual channels
- Review aged accounts and take steps to resolve for payment by contacting payors for claim status, processing rebilling requests, and escalating issues when needed
- Reconcile all insurance and patient credit balances/overpayments and ensure timely refunds are processed
- Address patient billing inquiries and escalate issues as appropriate
- Collect patient co-pays/coinsurance/deductible amounts due after insurance
- Establish, monitor, and pursue patients with payment plans until reconciliation
- Perform various clerical activities to support daily operations
Requirements:
- 1-2 years of relevant accounts receivable experience
- Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
- Knowledge of medical terminology
- Strong analytical and problem-solving abilities
- Proficiency with Microsoft software (Excel, etc.)
- Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
- Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN
Preferred Qualifications:
- Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
- Medical Billing and Coding certification, a plus
What We Offer:
- Competitive salary ($18.07 - $27.11 an hour)
- Comprehensive benefits package, including health care coverage, flexible spending accounts, and retirement plan
- Opportunities for professional growth and development
- A dynamic and inclusive work environment that values racial and social justice
Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including people of color and members of the LGBTQIA+ community.
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