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Accounts Receivable Rep
Accounts Receivable Rep-March 2024
Hillsboro
Mar 28, 2026
About Accounts Receivable Rep

JOB REQUIREMENTS: Love + medicine is who we are, it's what we do, it'swhy people want to work here. If you're looking for a job to love,apply today. Scheduled Weekly Hours:40 This position is possible to workin a Hybrid model once fully trained. Must report to home location ofHillsboro, WI for meetings and work at least 2 days per week in house.Not fully remote. Job Description: Major Responsibilities: Workscollectively with payors, patients and internal contacts to identify andrectify billing issues resulting in reimbursement and final dispositionof claims. Verifies accuracy of payment for correct reimbursement.Maintains knowledge of all regulations by continually enhancingeducation specific to federal regulations, payer communications, federalregisters and contractual guidelines to ensure compliance. Is familiarwith government and commercial Web Sites and can research and interpretthem effectively. Works with our internal and external customers tomaintain data integrity within patient accounting systems. Works closelywith Customer Service, Patient Relations, Risk Management, and ProviderMedical Management to provide direction with complicated accountinquiries to provide accurate and timely responses to patients resultingin increased overall patient satisfaction. Uses CWS to view patientpreferences to communicate with patients including those cared for byBehavioral Health. Performs complex guarantor account reviews on allfinancial classes including credit balances. Investigates and appealsdenials from Third Party Payors by verifying accuracy Performs necessaryerror corrections and/or initiates a refund request to rectify theguarantor account. Documents all activities/actions taken on anindividual patient account within the billing system. Must be familiarwith appropriate regulatory and contractual guidelines including HIPAA,in order to review and make corrections as appropriate. Effectivelycommunicates and educates patients on their financial responsibilitiesto the organization by giving estimates on services, taking payments,setting up payment arrangements and negotiating settlements on accountsunder direction of Supervisor/Manager/Director. This would include theguidelines for payments and self pay balances, along with the insuranceprocess and statements they will receive. Actively participates inanalysis of work processes and provides feedback to the PBS Managers andPBS Systems Trainers to assist in enhancing overall patient satisfactionand work process improvements. Participates actively in departmentmeetings and assumes additional responsibilities and special projects asassigned. Determines appropriate insurance eligibility and rebillsclaims with new information. Contacts and works directly with patientswhen necessary. Identifies and routes to appropriate staff for solvingCharge Master Issues. Requests refund checks for... For full infofollow application link. EEO/AA/Veterans/Disabilities *****APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/376FD0F9F0D94F23

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