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  Accounts Receivable Representative II . This role on the team 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.

Responsibilities

Research all assigned contracted and/or non-contracted carrier and self-pay accounts to ensure the proper payment through reports, spreadsheets and special projects.
Process correspondence related to assigned contracted and/or non-contracted carriers including self-pay accounts.
Maintain denial reports and ensure that accounts are properly documented.
Respond to customer service calls and strive for a one time resolution of accounts received.
Research denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims.
Resubmit improperly paid/denied claims to carriers for proper payment in a timely manner.
Identify and correct claim processing errors due to data entry, verification, coding and/or posting mistakes; ensuring that accounts are properly documented.
Call and check on claim status, working A/R and insurance carrier reports and insurance denials.
Handle and organize all aspects of the appeals process for all insurance payers (i.e., through letters, phone calls, and special projects from carriers). 
Post all charges and payments for accounts and balancing daily activity.
Interface with front office staff regarding insurance/patient issues.

Qualifications

Successful candidates must have the following education and experience to be considered:

Minimum of a High School Diploma or GED with 2 or more years of experience as detailed above.
Good organizational skills; ability to prioritize work daily, meet established production and quality goals/metrics, and follow up on open items in a timely manner.
Communicate and work well in a team environment.
Demonstrated experience working with MS Office Suite and Healthcare Billing Systems (PHI preferred).