Accounts Receivable/ Billing Representative Remote US

Reporting directly to the Revenue Cycle Manager, the Revenue Cycle Representative is responsible for activities leading up to the initial electronic claims submission to include charge entry edits, payment posting, and overall account resolution of patient accounts by interacting with patients and insurance payors. This position ensures timely submission of electronic claims, daily resolution of clearinghouse rejections and will assist in monitoring and resolving outstanding balances including unpaid, partial paid, underpaid, and overpaid claims for insurance and patient balances using aging reports, work queues and goal settings.

Key Responsibilities

• Resolving pre-bill claim edits and ensure claims are clean and submitted daily
• Reviewing daily clearinghouse rejections, resolving, and resubmitting accounts
• Posting all insurance and patient payments received through automated and manual channels
• Review aged accounts and take steps to resolve for payment by contacting payors for claim status, process rebilling requests and escalating issues when needed
• Reviews denied claims to resolve by resubmitting corrected claims or filing claim reconsiderations
• Reconciling all insurance and patient credit balances/overpayments and ensuring a timely refund is processed
• First to receive and address all channels of patient billing inquiries and escalate as appropriate
• Collect patient co-pays/coinsurance/deductible amounts due after insurance
• Establish, monitor, and pursue patients with payment plans until reconciliation
• Mail and correspondence management along with other department administrative functions
• Perform various clerical activities to support daily operations
• Creates and promotes a culture of continuous improvement
• Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
• Demonstrates a commitment to CHN and Planned Parenthood's mission related to health equity, especially centering racial equity, and deep sense of accountability to community
• Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
• Provides positive and development feedback and accountability related to practices including, but not limited to, equity

Required Qualifications

• 1 to 2 years of relevant account receivable experience
• Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
• Knowledge of medical terminology
• Strong analytical and problem-solving abilities
• Proficiency with Microsoft software (Excel, etc.)
• Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
• Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
• Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment
• Demonstrated dedication to Planned Parenthood's mission, vision, and values
• Strong interpersonal skills and the ability to build relationships with stakeholders
• Excellent time management, and problem-solving skills

Preferred Qualifications

• Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
• Medical Billing and Coding certification, a plus

Key Requirements

• Commitment to advancing race (+) equity in one's work: interested in expanding knowledge about the role that racial inequity plays in our society
• Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
• Strong sense of accountability to equitable practices
• Understanding of the impact of identity dynamics on organizational culture
• Commitment to CHN and Planned Parenthood's In This Together service ethos, workplace values, and service standards

Compensation: $18.07 - $27.11