As an Accounts Receivable Representative, you will play a crucial role in the Revenue Cycle Management (RCM) process, ensuring the timely and accurate processing of accounts receivable transactions. This position requires a detail-oriented and proactive individual who can navigate the complexities of healthcare billing and collections. You will play a pivotal role in contributing to the financial health of our clients by optimizing revenue streams and maintaining positive relationships with healthcare providers.

Responsibilities

• Create and submit claims for medical services rendered to insurance companies and patients. 
• Obtain supporting documentation, such as medical records, EOBs, Remits, Authorizations, referrals, etc., through email applications, scanning systems, Medicare remittance systems, etc.
• Review denied physician billing medical claims to ensure coding was appropriate and make corrections as needed, contact insurance companies to resolve and recover denied claims. 
• Monitor aging reports for timely follow-up on unpaid claims. 
• Perform retroactive review of registration data to aid in the assurance of clean claim submittal. 
• Accurately document claim actions taken within patient account/claims, including resolutions.
• Serve as a resource for problem solving issues related to registration, demographic, and insurance errors.
• Work collaboratively with cross functional teams, Managers, and practice staff to resolve claim and account issues. 
• Adhere to HIPAA guidelines regarding confidentiality relating to the release of financial and medical information. 
• Ensure billing and coding are correct prior to sending appeals or reconsiderations to payers. 
• Review and identify trends or patterns of denials to prevent errors and improve conversion. 
• Assist and coordinate with coder and billing manager concerning claim coding problems. 
• Stay current with compliance and changing regulatory guidelines. 
• Demonstrate knowledge of coding and medical terminology to effectively know if claim denied appropriately and if appeal is warranted. 
• Support and participate in process and quality improvement initiatives.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements. 
• Exhibit exceptional customer service skills, answering patient and insurance calls, prompt return and follow-up to all interactions, prompt response to requests for information, both internally and externally. 
• Deliver timely required reports to the management team, initiate, and communicate the resolution of issues, such as payor denial trends due to coding and billing errors. 
• Identify missing payments, overpayments, and analyze account credits. 
• Work with collaborative group to facilitate information and resolve charge questions. 
• Maintain accurate records of actions taken on behalf of clients to obtain reimbursement for medical services provided.
• Aid in reconciling deposit logs with posting reports to guarantee the integrity and precision of every transaction. 
• Follow UnisLink’s vision and mission with regards to exceeding customer expectations. 
• Promote UnisLink’s core values of Respect, Integrity, Customer Focus, and Continuous Improvement 
• Ensure confidentiality of sensitive information and that all communications are handled consistent with compliance policies. Actively comply with all UnisLink policies and procedures.  
• Other duties as assigned. 

• Minimum of 3-5 years’ experience in a Physician Billing department working denials, appeals, insurance collections, and      related follow-up is required.
• Must demonstrate a solid ability to apply contract language in conjunction with a comprehensive understanding of claims      denial appeal logic.
• Extensive experience using search engines, Internet; ability to effectively use payer websites; knowledge and use of Microsoft Products, (i.e., Outlook, Word & Excel, etc.)
• Knowledge of and competency with HIPAA compliance
• Knowledge of accepted healthcare insurance billing practices
• Strong customer service and communication skills, both written and verbal
• Strong reasoning, critical thinking, analytical and mathematical skills.
• Proven ability to work independently, flexibly shifting from big picture to detailed tasks, with high productivity, and regularly execute to deadlines.