Job Description

United Vein & Vascular Centers is a life-changing healthcare innovator that is rapidly expanding access to state-of-the-art, minimally invasive vein and vascular care as we grow our footprint across the country. The unparalleled outcomes we achieve are made possible by dynamic team members like YOU working alongside our exceptional team of skilled physicians and passionate staff. Join us on our journey to transform lives as we raise the bar for patient service and outcomes! Explore exciting career opportunities with United Vein & Vascular Centers and unlock your potential!

We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:

• Competitive compensation package
• Outstanding work life balance
• Health, vision, and dental benefits
• 401K plan match
• Life insurance (100% company paid)
• PTO and paid holidays
• We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.

About the role

The Sr. Accounts Receivable Representative is responsible for prompt and accurate follow-up of all unpaid claims within eClinicalWorks, with specific focus on claims for our specialty lines of business, such as OBL and Wound Care claims. The Sr. Accounts Receivable Representative will also support the AR Manager with presenting payer trends / denial details with internal and external customers, as needed.

Responsibilities

• Follow-up on all unpaid/denied claims with insurance carriers – working accounts to resolution.
• Conduct studies/special projects to resolve outstanding accounts receivable and address payer trends.
• Review assigned accounts to determine appropriate action needed with regards to claim resolution, appeals and resubmissions.
• Work all incoming correspondence including refund requests.
• Compare progress notes to LCD’s and medical coverage guidelines.
• Review medical documentation for medical necessity
• Demonstrates and promotes a work culture committed to UVVC’s Core Values: understanding, nurturing, ingenuity, trust, excellence, and diversity, equity and inclusion.
• Demonstrates behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
• Maintains the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
• Ability to establish and maintain effective professional working relationships with all employees.
• Other related duties as assigned.

Qualifications

• 3+ years of Accounts Receivable experience in a medical setting
• Proficiency working with MS Office
• Working knowledge of eClinicalWorks preferred but not required
• Knowledge of insurance payer nuances
• Knowledge of medical terminology and medical billing
• Ability to multi-task in a fast-paced environment
• Must be exceptionally detail oriented
• Ability to read and understand explanations of medical benefits and explanation of benefits (EOB)
• Strong knowledge of Excel
• Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively
• Dependable; able to meet reliable attendance and punctuality standards
• Leads by example, promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results