Onsite Healthcare Medical Insurance Account Receivable Representative

About IKS

Founded in 2006, IKS Health enables providers to provide better, safe, and more efficient care at scale. With over 12,000 employees, including over 1,500 physicians, and technologists, IKS Health provides solutions for over 150,000 providers across some of the largest and most prestigious healthcare provider groups in the country. Through our Provider Enablement Platform, IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most – the patient. We offer clinical, financial and administrative healthcare solutions for improved operational efficiency, better patient outcomes, optimized productivity, and revenue.

We are an on-site Patient Contact Center environment. 

Individual performance measurement while working within a team atmosphere 

Comprehensive 4 weeks training program 

Variable incentive bonus and recognition programs 

Opportunities for career growth

Job Summary: 

The Account Receivable Representative is responsible for timely and effective AR follow-up with medical insurance institutions for medical claims. The AR rep will review, analyze, and obtain necessary information from the payers to maximize collections from the outstanding AR and to document the notes clearly in the billing and workflow systems. The AR rep will also need to coordinate with the Internal Offshore Team and with the Client to obtain relevant information to expedite the collections process.

Key Responsibilities 

Adhere to Billing Guidelines and Policies 

Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp 

Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level 

Identify the root cause for Rejections and Denials and escalate to appropriate team to take action · Identify the Responsible Payer Accurately and Bill / Appeal Claims 

Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool 

Communicate with clinic personnel and insurance to resolve the claim in a timely manner · Perform Ad-hoc Tasks assigned as Special Projects

Qualifications/Skills: 

3-4 years experience in AR role/s

Strong Interpersonal, Oral and Written Communication skills

Ability to manage multiple and simultaneous responsibilities

Ability to prioritize the tasks and manage accounts receivables gets assigned

Should be Resourceful and Flexible team player who excels at building trust relationships with  the customer operations

Working knowledge of HCPCs codes 

Proficiency in computer skills including MS-Office and Google Suite

Proficient in EPIC Billing System and any experience in Workflow Tools is an added advantage

Proficiency with basic math and accounting skills

Analytical Skills in identifying Trends impacting collections and AR

Experience in working Medicare and Medicaid claims

Experience in hospital claims follow-up

Experience in ASC claims follow-up

Familiarity with DDE systems 

 

Compensation and Benefits: The compensation range for this job is $19hr - $22 per hour, determined by years of relevant experience, skills, and the specific geographical location where the work is performed The pay for this position is   Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc.  IKS Health offers a competitive benefits package including healthcare, 401 (k), and paid time off (all benefits are subject to eligibility requirements for full-time employees).  IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.