Medical Accounts Receivable Clerk - Physician Billing Department

Synergy Direct LLC

Torrance, CA, USA

Published: 6/14/2022

Healthcare

Full Time

Job Description

Position Summary:

We are seeking an experienced Accounts Receivable Clerk to join our Physicians Billing Department. As an Accounts Receivable Clerk, you will handle hospital-based physician billing and collections, focusing on accounts receivable. The ideal candidate will have at least 2-3 years of experience in physician billing, a strong understanding of insurance guidelines, and expertise in claim resolution. This position is crucial for ensuring accurate and timely processing of physician billing.

Responsibilities:

As an Accounts Receivable Clerk, manage physician accounts receivable by reviewing and processing claims.
Follow up on denied, rejected, or unpaid claims and work to resolve issues as an Accounts Receivable Clerk.
Collaborate with insurance providers to ensure accurate and timely reimbursement for all claims.
Ensure compliance with PPO, HMO, Medi-Cal, and Medicare insurance plan guidelines as part of your role as an Accounts Receivable Clerk.
Review and audit credit accounts to ensure accuracy, working within the guidelines of a dedicated Accounts Receivable Clerk.
Apply knowledge of ICD-10, CPT, HCPCS, and LCD/NCD coding to ensure proper billing and compliance with accepted guidelines.
Resolve discrepancies and ensure that all payments are processed promptly as part of your responsibilities as an Accounts Receivable Clerk.
Maintain clear and accurate records of all transactions and communications related to accounts receivable.
Provide support in the auditing process and any internal or external reviews of billing practices.

Requirements:

Experience: Minimum of 2-3 years of experience in hospital-based physician billing and collections, with strong physician accounts receivable experience.
Knowledge: In-depth knowledge of PPO, HMO, Medi-Cal, and Medicare insurance guidelines.
Technical Skills: Proficient in ICD-10, CPT, HCPCS, and LCD/NCD coding. Cerner experience is preferred.
Communication: Strong communication skills to effectively collaborate with insurance companies, providers, and internal teams.
Attention to Detail: Must be detail-oriented with strong analytical skills to identify and resolve billing discrepancies.
Certifications: No certifications required.
Weekend Availability: Not required.
On-Call: Not required.
Block Schedule: Not applicable.

Preferred Skills:

Cerner experience (preferred but not required).

Locals: Candidates located within a 50-mile radius of the facility are preferred.

Application Instructions:

If you are a detail-oriented, experienced Accounts Receivable Clerk with a strong background in physician billing, we encourage you to apply today! Please fill out the full questionnaire as that is required for consideration.

Other Applicable Titles: Physician Billing Clerk, Medical Accounts Receivable Specialist, Billing and Collections Clerk, Healthcare Billing Clerk, Physician Accounts Specialist, Medical Billing Coordinator.