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Accounts Receivable Representative
Greenwood Village, CO
Job Description
Rocky Mountain Cancer Centers, Colorado's largest and most comprehensive provider of cancer care has an exciting opportunity for an experienced Accounts Receivable Representative in Greenwood Village, CO.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Monitors delinquent accounts and performs collection duties. Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer
. Reviews payment postings for accuracy and to ensure account balances are current. Works with co-workers to resolve payment and billing errors. Monitors and updates delinquent accounts status. Recommends accounts for collection or write-off.
-Verifies existing patients have necessary referral and/or authorization documentation prior to examination date. Contacts and follows-up with patient*s physician for any missing or incomplete documentation.
-Contacts patients to secure past due balances, verify patient demographics and insurance providers, updates information in systems, and documents conversations. Answers patient*s payment, billing, and insurance questions and resolves complaints.
-May refer patients to Patient Benefits Representative to set-up payment plans.
-Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement.
- Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
-Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
-Other duties as requested or assigned.
MINIMUM QUALIFICATIONS:
-High school graduate or equivalent required. Minimum four (4) years combined medical billing and payment experience required.
-Proficiency with computer systems and MicroSoft Office (Word and Excel) required.
-Demonstrate knowledge of medical coding, preferably oncology coding.
-Demonstrate knowledge of state, federal, and third party claims processing required.
-Demonstrate knowledge of state & federal collections guidelines
-Must successfully complete required e-learning courses within 90 days of occupying position.
COMPETENCIES:
-Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
-Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.
-Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
-Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
-Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. All candidates are required to pass a drug screening and background check prior to hire.
All candidates are required to pass a drug screening and background check prior to hire.
The US Oncology network is an equal opportunity employer
minority/female/disability/vets
Category: Administrative
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Monitors delinquent accounts and performs collection duties. Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer
. Reviews payment postings for accuracy and to ensure account balances are current. Works with co-workers to resolve payment and billing errors. Monitors and updates delinquent accounts status. Recommends accounts for collection or write-off.
-Verifies existing patients have necessary referral and/or authorization documentation prior to examination date. Contacts and follows-up with patient*s physician for any missing or incomplete documentation.
-Contacts patients to secure past due balances, verify patient demographics and insurance providers, updates information in systems, and documents conversations. Answers patient*s payment, billing, and insurance questions and resolves complaints.
-May refer patients to Patient Benefits Representative to set-up payment plans.
-Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement.
- Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
-Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
-Other duties as requested or assigned.
MINIMUM QUALIFICATIONS:
-High school graduate or equivalent required. Minimum four (4) years combined medical billing and payment experience required.
-Proficiency with computer systems and MicroSoft Office (Word and Excel) required.
-Demonstrate knowledge of medical coding, preferably oncology coding.
-Demonstrate knowledge of state, federal, and third party claims processing required.
-Demonstrate knowledge of state & federal collections guidelines
-Must successfully complete required e-learning courses within 90 days of occupying position.
COMPETENCIES:
-Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
-Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.
-Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
-Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
-Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. All candidates are required to pass a drug screening and background check prior to hire.
All candidates are required to pass a drug screening and background check prior to hire.
The US Oncology network is an equal opportunity employer
minority/female/disability/vets
Category: Administrative
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Job Summary
Company
Start Date
immediate
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
4+ years
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