• Medical Insurance Accounts Receivable Representative

    Job ID
    2018-23567
    Employment Type
    full-time
    Hours Per Week
    40
    Onsite Work Schedule Details
    M-F 7-3:30pm
    Address
    3200 N. Central Ave
    City
    Phoenix
    State
    AZ
  • Overview

    The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.

    Responsibilities

    • Contacts government or commercial healthcare insurance companies to follow up on outstanding accounts receivable.
    • Identify billing errors for correction and resubmit claims to insurance carriers.
    • Follow up on payment errors, low reimbursement, denials, etc.
    • Review insurance EOB’s and initiate appeals as necessary.
    • Print and mail UB04s or HCFA 1500s as necessary for account resolution.
    • Keep current with all commercial and managed care pricing models, rules and regulations.
    • Keep current with all Medicare and Medicaid rules and regulations.
    • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
    • Supports nThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to nThrive’s business practices. This includes: becoming familiar with nThrive’s Code of Ethics, attending training as required, notifying management or nThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations.

    Qualifications

    • High school diploma or GED.
    • 2+ years of experience in healthcare insurance accounts receivable follow up, working directly with government or commercial insurance payers.
    • 2+ years of experience with accounts receivable software.
    • Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up.
    • Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices. 
    • Demonstrated success working both individually and in a team environment.

    Preferred Skills

    • Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian or STAR.

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.

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