Job Description

ACCOUNTS RECEIVABLE REPRESENTATIVE

WHY ASCEND CLINICAL?

YOU WILL WORK FOR A COMPANY THAT IS TRANSFORMING THE INDUSTRY. 

We are Ascend, one of the highest volume clinical laboratories in the United States. With the use of the most advanced tools and technology, we process millions of tests each month.   For over 30 years, we have been delivering industry-leading service and excellence in testing. At Ascend, we are relentlessly innovating and growing to pioneer the future of healthcare. 

Ascend is unlike most companies, offering the discipline of a healthcare leader and the mentality of a tech startup.  At all times, our employees are taking on new challenges and solving problems.  As a company that is on the leading edge, we are seeking individuals with a similar mindset who enjoy a dynamic, fast-paced environment. 

YOUR ROLE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Responsible for all areas of the revenue management life cycle
•  Obtains necessary information critical to submitting clean claims
  • 1. Contacting physicians for accurate coding and billing information
  • 2. Performing eligibility and benefit checks
  • 3. Reviewing billing information prior to submission of the claim
•  Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence
  • 1. Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
  • 2. Initiate collection follow-up of unpaid or denied claims with appropriate payer
  • 3. Reviews and interprets payer remittances to determine appropriate action to be taken on denied claims.
•  Identify root cause of claim exceptions; resolve and/or escalate issues
  • 1. Analyzes outstanding account balances and determines plan of action to resolve
  • 2. Determine and apply appropriate business action in absence of policies or in cases of ambiguity
  • 3. Identifies and interprets policies related to exceptions
  • 4. Escalates issues as needed
•  Contacts payers for status of unpaid claims. Maintains knowledge/understanding of third party payer regulations for managed care, Medicare, and Medicaid accounts
•  Assists other staff in account resolution
•  Participates in special projects
•  Maintains patient confidentiality according to compliance policies and HIPAA

YOUR QUALIFICATIONS:

• Associates Degree or Higher in Accounting or Healthcare Preferred or a minimum of 5 years’ experience in health care
• Experience in laboratory revenue management preferred
• Knowledge of CPT, ICD-10 and HCPCS codes required
• Understanding of Medicare, Medicare Advantage, Medicaid, PPO, HMO, IPA and other payor documentation, compliance and coding requirements
• Excellent customer service skills
• High degree of problem solving abilities required
• Medical terminology preferred
• Experience with healthcare coding and auditing preferred
• Strong Organizational Skills
• The ability to prioritize assignments
• Ability to work under minimal supervision

ADVANTAGES:

•  ENTREPRENEURIAL SPIRIT - As the industry leader, we are continually innovating and breaking new ground. 
•  DYNAMIC ENVIRONMENT - Expect new challenges and make an impact every day. 
•  PERSONAL DEVELOPMENT - Always opportunities to learn and grow. 
•  GENEROUS BENEFITS - Medical, PTO Policy and Company 401K match.