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Accounts Receivable Representative

Jax Spine & Pain Centers
Jacksonville, USA
Full-time
Entry · 1+ years experience
Onsite
Discovered 1 weeks ago
Microsoft OfficeElectronic Remittance Advice (ERA)
Free

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Microsoft OfficeElectronic Remittance Advice (ERA)
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  • Review and manage assigned accounts receivable work queues to ensure timely reimbursement.
  • Follow up with commercial insurance carriers, government payers, and patients regarding outstanding balances.
  • Investigate, resolve, and appeal denied or underpaid claims.
  • Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies.
  • Correct claim edits and billing errors to facilitate prompt payment.
  • Submit corrected claims, reconsiderations, and appeals within payer filing deadlines.
  • Research payer policies and reimbursement guidelines to resolve payment issues.
  • Document all account activity accurately within the practice management system.
  • Collaborate with Billing, Coding, Authorizations, Front Office, and Clinical teams to resolve claim issues and improve reimbursement.
  • Maintain productivity and quality standards while meeting departmental collection goals.
  • Assist with special projects and other revenue cycle duties as assigned.
  • High school diploma or equivalent.
  • Minimum of one (1) year of medical accounts receivable, medical billing, or revenue cycle experience.
  • Knowledge of medical insurance billing, claims processing, and reimbursement methodologies.
  • Experience working with commercial insurance, Medicare, Medicaid, and other third-party payers.
  • Strong analytical, organizational, and problem-solving skills.
  • Proficiency with Microsoft Office and electronic practice management systems.
  • Excellent written and verbal communication skills.
  • Experience in a pain management, ambulatory surgery center, orthopedic, or specialty medical practice.
  • Knowledge of CPT, ICD-10, and HCPCS coding principles.
  • Experience with electronic remittance advice (ERA), clearinghouses, and payer portals.
  • Certified Professional Biller (CPB), Certified Professional Coder (CPC), or other revenue cycle certification preferred.
  • Medical, Dental, and Vision Insurance.
  • Health Savings Account (HSA).
  • 401(k) with Company Match.
  • Paid Time Off (PTO).
  • Paid Holidays.
  • Life and Disability Insurance.
  • Employee Assistance Program (EAP).
  • Professional Development Opportunities.

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