Medical Biller / Accounts Receivable Representative

Company: Qpa
Location: Bloomfield
Posted on: May 6, 2025

Job Description:

We are partnering with an award winning outpatient surgery center to help them identify the TOP Accounts Receivable Representatives in the area for a full time, permanent AR and Medical Billing role.Shift: Monday through Friday, 8am to 4:30pmResponsibilitiesWithin our Accounts Receivable department, you will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. You will:* Work closely with insurance companies and third-party payers to collect revenue for surgical services performed.* This role is primarily focused on collecting payments from insurance companies as opposed from collecting from self-payers/individuals.* Works closely with payer provider relations representatives* Contacting insurance companies by email and/or phone to collect payments* Handles contracted and non-contracted; HMO, PPO, EPO, POS, Workers Com., self-pay and third-party reimbursement issues.* Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts* Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution* Ensure payments by primary and secondary payers and/or self-pay patients are accurate* Responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting* Accurate and timely follow up and resolution for all accounts receivable.* Meeting and maintaining cash collection metrics and goals* Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after proceduresThis is a fast-paced environment, which requires attention to detail, accountability, teamwork, and professional behavior and a focus that extends to patients, clients and other departments.Qualifications* One or more years experience in a related position working in a medical office, hospital, outpatient surgery center or related field with core duties related to medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements, or related training/certificates/diplomas* Experience with ICD 10 codes* Knowledge of MS Office including Excel and WordPreferred Qualifications* High school diploma, GED, related certificate/diploma of related training or Associates Degree or Bachelors Degree* Ideally two or more years experience working specifically into medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side* Experience with Medical Billing Software and Applications* Possess basic knowledge of medical terminology and health insurance billing.* Strong communication skills, both verbally and in writing* Customer service and patient service focus#QPHINDby Jobble

Keywords: Qpa, Portland , Medical Biller / Accounts Receivable Representative, Healthcare , Bloomfield, Maine