Accounts Receivable Billing Representative; Synergy

Overview

Accounts Receivable Billing Representative (Synergy) – Full-time position. The role focuses on processing and following up on claims to maximize payments and patient satisfaction. Requires professional billing experience in healthcare.

• Work aged receivables utilizing A/R reports assigned by manager
• Review and assess adjudicated claims for timely and proper payment of outstanding balances
• Research, correct, and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
• Identify liability and guarantor hierarchy and transfer balances timely and appropriately
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
• Research and resolve denials and underpayments with insurance carriers
• Verify all identified insurance carriers for eligibility and confirm carrier policy for referral and authorization requirements as needed for claims adjudication
• Submit carrier appeals and reconsideration requests in a timely manner
• Meet productivity goals/benchmarks as set and communicated by Team Lead
• Maintain confidentiality of patient information
• Work collaboratively with other Coding, Billing, Patient Success, and Payment Posting Specialists as needed

• High school diploma or GED
• Bachelor’s degree preferred

• Minimum of 3 years' billing experience in the healthcare industry
• Prior medical billing experience
• Knowledge of ICD-10, CPT, HCPCS coding and medical terminology required
• Problem-solver/ Critical thinking skills/ Self-motivated
• Ability to organize, prioritize and manage various work assignments in a timely fashion
• Word and Excel experience preferred
• Ability to remain professional and courteous with providers and insurance carriers always
• Experience with Availity and/or Telcor is preferred

• Team player who will lead by example and promote a positive work culture when partnering with internal/external business partners
• Demonstrates initiative, personal awareness, professionalism, and integrity, and exercises confidentiality in all areas of performance
• Follows all local, state, and federal laws concerning employment including but not limited to I-9, Harassment, EEOC, Civil rights, and ADA
• Follows OSHA regulations and site protocols, policies, and procedures
• Follows HIPAA, compliance, privacy, safety, and confidentiality standards at all times
• Practices universal safety precautions
• Promotes good public relations on the phone and in person
• Adapts and is willing to learn new tasks, methods, and systems
• Reports to work regularly as scheduled; consistently punctual with respect to working hours, meal and rest breaks, and maintains satisfactory personal attendance in accordance with guidelines
• Consistently adheres to time management policies and procedures
• Completes job responsibilities in a quality and timely manner

• Mid-Senior level

• Full-time

• Accounting/Auditing and Finance
• Industries
• Hospitals and Health Care