RCM ACCTS RECEIVABLE REPRESENTATIVE II
Employment Type : Full-Time
Overview: Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.
If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.
The Representative Accounts Receivable Follow-up Intermediate collects outstanding accounts receivable from patients and third-party payersResponsibilities:- Follow-up, phone insurance companies on outstanding claims and appeals.
- Phone patients for payment or payment arrangements
- Print and re-file claims as needed.
- Work correspondence daily.
- Answer incoming patient insurance company and physician office telephone calls.
- Research/audit patient accounts for further payment or adjustments.
- Work KAM reports as assigned.
- Work accounts receivable collector queue with proficiency within 30-60 days of employment.
- Work 40-50 accounts daily with > or =90% accuracy rating; meet department productivity standards.
- Calculate billing unties and reimbursement amounts.
- Maintain strictest confidentiality and adhere to all company policies and procedures.
- Other duties as assigned
- Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs
- Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company
- Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so
- Support and abide by the values of the company
Qualifications:- High School graduate or equivalent.
- Associate or bachelor’s degree in business administration or related field preferred
- One – Two years collection experience required.
- One year posting, coding or accounts receivable collection experience in health care organization is preferred
- Microsoft Office Suite
- Working knowledge of CPT, ICD-9 and ASA codes
- Strong mathematical, research, analysis, decision making and problem-solving skills.
- Strong data gathering and reporting skills.
- Working knowledge of medical terminology, insurance processing guidelines and laws.
- Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines.
- Strong personal computer skills including MS Excel, WORD and Compas 21.
- Strong interpersonal skills and comfortable working with physicians, external customers, hospital staff, co-workers and senior leadership.
- Strong verbal and written communication skills
- Team oriented, must have a pleasant disposition and high tolerance level for diverse personalities.
- Ability to work independently with limited supervision.
We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment. A company matching 401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.
Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visitwww.dhs.gov/E-Verify
Envision Physician Services is an Equal Opportunity Employer.
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