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RCM ACCOUNTS RECEIVABLE REPRESENTATIVE II

Company: Envision Physician Services
Location: Fort Lauderdale
Posted on: January 15, 2022

Job Description:

Overview

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. -As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity available for an experienced RCM Account Receivable Representative II.

Responsibilities

The RCM Account Receivable Representative II is responsible for all assigned contracted and/or non-contracted carriers as well as self-pay accounts to ensure proper payment of claims and/or patient responsibility.

Researches all assigned contracted and/or non-contracted carrier and self-pay accounts to ensure the proper payment through reports, spreadsheets and special projects as deemed necessary.
Processes correspondence related to assigned contracted and/or non-contracted carriers including self-pay accounts.
Maintains denial reports and ensures accounts are properly documented.
Responds to customer service calls and strives for one time resolution of accounts received.
Researches denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims.
Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner.
Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting mistakes. - Ensures accounts are properly documented.
Call and check claim status, work A/R and insurance carrier reports, and insurance denials
Handle and organize all aspects of the appeals process for all insurance payers (letters, phone calls, special projects from carriers).
For facility based employees, responsibilities may include:
Posts all charges and payments for accounts and balances daily activity
Interface with front office staff regarding insurance/patient issues
Other duties as assigned

Qualifications

High School graduate or equivalent.
Associate or bachelor's degree in business administration or related field preferred
One - Two years collection experience required.
One year posting, coding or accounts receivable collection experience in health care organization is preferred
Microsoft Office Suite
Working knowledge of CPT, ICD-9 and ASA codes
Strong mathematical, research, analysis, decision making and problem-solving skills.
Strong data gathering and reporting skills.
Working knowledge of medical terminology, insurance processing guidelines and laws.
Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines.
Strong personal computer skills including MS Excel, WORD and Compas 21.
Strong interpersonal skills and comfortable working with physicians, external customers, hospital staff, co-workers and senior leadership.
Strong verbal and written communication skills
Team oriented, must have a pleasant disposition and high tolerance level for diverse personalities.
Ability to work independently with limited supervision.

We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment. A company matching -401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays

If you are ready to join an exciting, progressive company and have a strong work ethic, - join our team of experts! -We offer a highly competitive salary and a comprehensive benefits package.

Envision Physician Services -uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visitwww.dhs.gov/E-Verify

Envision Physician Services is an Equal Opportunity Employer.

#CB

Keywords: Envision Physician Services, Fort Lauderdale , RCM ACCOUNTS RECEIVABLE REPRESENTATIVE II, Other , Fort Lauderdale, Florida

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