Accounts Receivable Representative
Job Description
Overview
This position is responsible for generating and submitting timely health insurance billing claims and/or patient statements. Includes follow up on unpaid claims and resubmission of unpaid claim documents. Resolve disputes in contested billing and initiate collection of patient copayments, deductibles and open balance amounts through telephone contact, letters, etc.
Responsibilities
1. Responsible for generating and submitting timely health insurance billing claims and/or patient statements for multiple locations.
2. Responsible for accounts receivable billing and collections including multiple locations and complex payer programs.
3. For outstanding claims identified through Aging Reports, research and re-submit overdue claims/statements within established
timeframes.
4. Identify credits, adjustments and write-offs, providing required documentation for approval by management.
5. Verification of insurance eligibility and benefits as needed.
6. Respond to customer inquiries regarding account status and resolve discrepancies, set up payment schedules, and prepare
adjustments and refunds when necessary.
7. File, update and maintain all billing documentation.
8. Review and resolve payment denials and claim rejections for specific payer groups; research explanation of benefits and re-submit
within 48 hours of receipt.
9. Review, analyze, audit individual accounts receivable and conduct research.
10. Maintain accounts receivable billing and collections for specific financial class(es).
11. Perform other related duties as assigned.
Company Description
Cross Country Workforce Solutions Group (CCWSG) is a human resource, consulting and talent acquisition firm, specializing in PACE Programs, FQHCs/CHCs, and State Healthcare plans throughout the US. Our national operations center is located in Southern California.
CCWSG provides clinical and non-clinical staffing support to PACE centers across the country; we are the nation’s exclusive provider of non-medical, in-home caregivers for the elderly enrolled in PACE programs. Currently, we have over 2,600 caregivers supporting patients in their homes through PACE.
We are a part of the Cross Country Healthcare family, a market-leading workforce solutions, tech-enabled talent platform, and staffing, recruitment, and advisory firm with 37 years of industry experience and insight. We are a full-service partner, combining market expertise and services, including contingent staffing, consulting, human capital, management solutions, recruitment process outsourcing, vendor management, and direct hiring.
Cross Country Workforce Solutions Group (CCWSG) is a human resource, consulting and talent acquisition firm, specializing in PACE Programs, FQHCs/CHCs, and State Healthcare plans throughout the US. Our national operations center is located in Southern California.\r\nCCWSG provides clinical and non-clinical staffing support to PACE centers across the country; we are the nation’s exclusive provider of non-medical, in-home caregivers for the elderly enrolled in PACE programs. Currently, we have over 2,600 caregivers supporting patients in their homes through PACE.\r\nWe are a part of the Cross Country Healthcare family, a market-leading workforce solutions, tech-enabled talent platform, and staffing, recruitment, and advisory firm with 37 years of industry experience and insight. We are a full-service partner, combining market expertise and services, including contingent staffing, consulting, human capital, management solutions, recruitment process outsourcing, vendor management, and direct hiring.