ChampaignRecruiter Since 2001
the smart solution for Champaign jobs

Accounts Receivable Representative 1 - Government

Company: Carle Health
Location: Champaign
Posted on: November 24, 2022

Job Description:

Position Summary:

The Accounts Receivable Representative 1 manages the accounts receivable in accordance with compliance, regulatory and billing guidelines and specific payer rules. Responsible for collection of outstanding receivables. Responsible for the accurate billing of insurance claims by validating coverage, resolving charge review edits, claim edits and front end clearinghouse and payer rejections. In addition, follows up on outstanding receivables, completes basic appeals, answers, documents and completes inquiries from patients, insurance companies, attorneys, public agencies, internal departments and 3rd party payers.


None Required

None specified

One-year experience in health care preferred. General computer knowledge related to Microsoft Office applications such as Word, Excel and Outlook. Proficient in the use of office based technology i.e. computer, copier, fax, scanner, etc.

Strong written and oral communication skills; displays a high standard of confidentiality; ability to deal with a large volume of work and the ability to multitask. Maintains a comprehensive working knowledge of assigned payer billing policies and guidelines. Works proficiently within multiple revenue cycle billing systems; attention to detail; ability to prioritize and complete tasks under demanding conditions; ability to easily accept and implement change. Must demonstrate tact and diplomacy in all interpersonal interactions.

Essential Functions:

  • Identifies and resolves billing and insurance set up errors to facilitate accurate and timely billing.
  • Resolves charge review edits, claim edits and clearinghouse and payer rejections to facilitate accurate billing.
  • Submits claims for assigned payers, including corrected and voided claims.
  • Works patient, account, and follow-up work queues to perform collection activities on outstanding receivables; contacts patients, payers, attorneys or employers via phone, website/web portal or mail.
  • Reviews and resolves incoming correspondence.
  • Resolves underpayments, no payments, overpayments and undistributed payments for proper allocation.
  • Identifies, prepares and requests adjustments.
  • Responds to inquiries from patients, insurance companies, public agencies, internal departments and 3rd party payers.
  • Prepares, completes and follows up on designated payer reports and forms.
  • Performs other duties as assigned.

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. - For more information:

    Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted. With an approved exemption, healthcare workers must do weekly testing and verify a negative COVID-19 test.

Keywords: Carle Health, Champaign , Accounts Receivable Representative 1 - Government, Government & Protective Services , Champaign, Illinois

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Illinois jobs by following @recnetIL on Twitter!

Champaign RSS job feeds