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nimble solutions

Accounts Receivable Representative - RCM Medical Billing

Remote Full-time

Job Type

Full-time

Description

Why you’ll want to work at nimble!

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience and visibility to Executive leadership. As an organization, we are in considerable growth mode through acquisitions and with a laser focus on positive culture-building.

As an Accounts Receivable Representative, you will primarily be on the phone with insurance companies, overturning denied claims. You will also write appeals to insurance companies to overturn denied/underpaid claims, as well as being exposed to a list of national payers working in multiple states, multiple systems, and collaborating with team members.

On a typical day, you will be:

• Working in multiple practice management systems and other workflow technologies

• Receiving client inquiries and addressing them in a timely manner as they relate to unpaid insurance claims

• Checking payer portals for insurance claim statuses

• Participating in team meetings and client meetings

• Working with leadership to increase client collections i.e., getting additional insurance claims paid

• Learning how to prioritize a work queue for maximum efficiency

• Having fun, building relationships, and contributing towards maintaining positive team morale

• Call insurance carriers to obtain timely processing of patient claims

• Calling payers to understand why insurance claims were denied or paid incorrectly

• Document contract with insurance carriers and estimated payment date

• Provide information to expedite claim processing

• Review and understand system notes

• Writing and submitting appeals

• Successfully meeting facility goals and KPI’s

• Attach appropriate documentation (i.e., Op Note, Invoice, etc.)

• Review claims to ensure fields are complete and accurate

• Maintain daily record of activities

• Use system reports to manage accounts receivable (AR)

• Prioritize accounts based on high dollar and days in AR

• Document write-offs and submit refund requests

• Maintain batch logs in a file by date

• File activity into monthly charts by facility

Requirements

Who you are:

• 1+ years of experience in medical billing or accounts receivable

• Experience using Epic, NextGen, HST, Athena, Cerner, Availity or other large EMR software is highly preferred

• High school diploma or equivalent

• Possess an exceptional customer service mindset with a focus on high-quality delivery

• Consummate team player

• Work with a sense of urgency

• Task oriented

• Organized and attention to detail

• Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day

• Work in a competitive environment

Here's what you can bring to the team:

• Amazing attitude

• Dedication

• Collaboration

• Creativity

• Out-of-the-box thinking

• A sense of humor and fun

Work Environment:

• Remote

• 8-hour shift

• Day shift

• Monday to Friday

entry
We like the way you work it·nogigiddy·Gotta bag it up·nogigiddy·
We like the way you work it·nogigiddy·Gotta bag it up·nogigiddy·