Job: Accounts Receivable Representative - Medical Billing

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Job Description

Tri-City Cardiology is widely known for its progressive and innovative approach to heart and vascular services. Our board certified cardiology physicians are experienced and skilled in diagnosis, treatment and prevention of coronary artery disease, heart valve abnormalities, heart arrhythmias, high blood pressure, high blood cholesterol peripheral artery disease and stroke. We are currently hiring for an Accounts Receivable Representative in our Billing department.

Do you have advanced knowledge of medical billing and insurance? If so, then we are looking for you!

This position contributes to the company mission by providing daily support to the financially related services of our patients, performing daily payment posting of patient’s financial information, and doing the necessary follow-up to receive proper reimbursement for all services rendered. Key to this position is ensuring employee, physician, and patient satisfaction through ongoing open communication.

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

  • Processes online credit card transactions
  • Prepares and posts all refunds to patients and insurance companies utilizing our practice management system and online vendors
  • Researches and determines information needed to receive proper payment
  • Handles phone calls from insurance companies and patients regarding payments on patient accounts
  • Assists other departments to add correct insurance information
  • Works closely with Reg II team regarding insurance changes to patients charts
  • Explains TCC’s financial policy to patients and discuss patient financial responsibilities, including co-pay, coinsurance, deductibles, and payment needed at time of service
  • Discusses and coordinates payment option plans for patients who are unable to pay at time of service
  • Educates patient to our Patient Portal
  • Verifies patient eligibility with insurance companies and third party vendors (MedSolutions)
  • Monitor accounts receivables by utilizing monthly reports to determine payer/self pay issues in all aging buckets
  • Documents all steps taken to resolve issues
  • Continues to further knowledge base through seminars, in-services, etc
  • Ensures that all OSHA and HIPAA guidelines are followed according to TCC policies and procedures
  • Utilizes AIDET/customer service standards and demonstrates behavior that is professional and commensurate with the position in accordance with Tri-City’s Standards of Behavior
  • Attends all mandatory staff meetings, in-services or seminars related to patient services
  • Maintains a professional and courteous environment
  • Maintains strict patient and employee confidentiality

 Accounts Receivable-Payer

  • Posts all Mail, Lockbox, and electronic payments and adjustments of EOBs and remits
  • Educates patient as to the differences in insurance plans
  • Works all EOB’s and remits for denials and improper payments
  • Monitors electronic claim denials through online clearinghouse
  • Post charges for all EHR tasks sent for forms
  • Assists with lab denials and proper coding
  • Works closely with insurance companies and provider representatives to ensure providers receive maximum benefits
  • Maintain Practice Management File Maintenance of Insurances, Fee Schedules and Contracts
  • Monitors all No Show appointments and post charges
  • Monitors Balance Control report daily

Accounts Receivable- Personal

  • Posts all collection agency and recurring payments
  • Processes online recurring credit card payments
  • Maintain location specific spreadsheets for collections of outstanding balances daily
  • Process all return mail, report to collection agency if correction is unobtainable
  • Process all bankruptcy documentation
  • Monitors personal accounts, pre-list patients for collections and works with collection agency on accounts where appropriate
  • Other duties as assigned

We offer a comprehensive compensation package that includes competitive salaries as well as:

  • Health, Dental & Vision coverage (1st of the month following 60 days of employment!)
  • Company Sponsored Life Insurance
  • Disability Insurance
  • 401(k)
  • PTO (vacation, sick & personal time off)
  • Company Paid Holidays
  • Employee Recognition & Rewards Programs with opportunities to earn gift cards and additional PTO!

Skills / Requirements

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

  • Advanced knowledge and understanding of medical billing and/or coding systems
  • Knowledge of Federal, State, and pay regulations regarding medical billing compliance
  • Ability to read and interpret CPT and ICD coding books
  • Two to five years experience with insurance companies preferred
  • Must be able to type at least 40 wpm

 EDUCATION and/or EXPERIENCE

  • High school diploma or general education degree (GED)
  • Knowledge of ICD and CPT codes, billing practices, and policies/procedures
  • One year collection experience
  • Two to five years experience with insurance companies preferred

Locations

Tri-City Cardiology - Administration
6402 E Superstition Springs Blvd., Suite 224
Mesa, AZ 85206
Tri-City Cardiology - Baywood
6750 E. Baywood Avenue
Mesa, AZ 85206
Tri-City Cardiology - Dobson
1520 S. Dobson Road
Mesa, AZ 85202
Tri-City Cardiology - Scottsdale
8765 E Bell Road, Suite 110
Scottsdale, AZ 85260
Tri-City Cardiology - South Gilbert
3530 S Val Vista Drive Ste. 103
Gilbert, AZ 85297
Tri-City Cardiology- San Tan Valley
36543 N. Gantzel Rd. Bldg. 15, Ste. 101
San Tan Valley, AZ 85140
Tri-City Cardiology - Administration
Tri-City Cardiology - Baywood
Tri-City Cardiology - Dobson
Tri-City Cardiology - Scottsdale
Tri-City Cardiology - South Gilbert
Tri-City Cardiology- San Tan Valley

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