Medical Billing Accounts Receivable - CRO Services LLC

CRO Services is the premier provider of radiation therapy in Ventura and Santa Barbara counties.  Our mission is to provide compassionate and cutting-edge cancer care for every patient, guided by integrity and innovation. We are dedicated to fostering a supportive and collaborative environment for our team, where expertise meets empathy. Together, we strive to empower our patients and their families on their journey towards healing and recovery, offering personalized and effective radiation treatments that make a meaningful difference in the fight against cancer.

BENEFITS:

• 401 (k)
• Healthcare Benefits (Dental, Medical, Prescription Drugs and Vision)
• Paid Time Off

JOB SUMMARY

The Accounts Receivable Representative is responsible for assessing explanation of benefits (EOB's) from insurance companies, documenting revenue from patient payments and posting payments both electronically and manually on a daily basis.

The ideal candidate will have 2+ years in general accounting principles and electronic remittance summary posting.

Performs the following duties personally and coordinates with team members to ensure successful completion of assigned tasks.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Essential Duties:

• Payment posting and matching Explanation of Benefits (EOBs)
• Resolve all payments with missing Explanation of Benefits (EOB)
• Ensure line items adjustments are performed at time of payment
• Assist with all billing department needs to meet and exceed goals for collections

Responsibilities/Qualifications

• 835 electronic payment matching
• Ability to review, understand and apply EOBs
• Proficiency and ability to use computer automated accounting system
• Maintaining confidentiality.
• EMR knowledge.

This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and EXPERIENCE

• High school graduate or equivalent.
• Knowledge of EDI processing and EFT work experience
• Healthcare payment posting experience

MENTAL DEMANDS

Language Skills Experience

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to effectively present information in one-on-one and small group situations to co-workers and other employees of the organization.

Mathematical Skills Experience

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills

To perform this job successfully, an individual should have intermediate knowledge of: Microsoft Office Suite: particularly Outlook Communication Management software, Word, and Excel. Experience with Internet usage,PC and/or MAC and Windows.

•  Medical Billing/Coding Diploma or Certificate [CPC] [CCS] or [CCA] preferred

OTHER SKILLS AND ABILITIES

• Experience in data entry and insurance verification
• Communicate clearly and concisely, both orally and in writing.
• Ability to understand and carry out verbal and written directions.
• Follow CRO policies and procedures.
• Work independently in the absence of supervision.

Other requirements:                                                   

• Must properly control the release of proprietary and confidential information.