AR Representative- Unpostables

Under the direction of the Sr. Manager, Unpostables of Revenue Cycle Management, the Accounts Receivable (AR) Manager - Unpostables is responsible for overseeing the unpostables process within the RCM National Team. They identify, research and resolve unapplied cash, unidentified payments, and other discrepancies in patient accounts. The AR Manager - Unpostables ensures timely resolution of unpostable records, maintaining accurate records, and collaborating with other departments to improve processes and minimize unpostable occurrences. This role will also be responsible for taking the steps necessary to resolve all issues or questions that escalate to the unpostables team to include SalesForce case management. Primary Job Duties: Unpostables management that includes researching and resolving records that have not been matched to athenaOne related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges) • Reconciliation of re-adjudicated claims/payer takebacks • Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques as needed • Maintain payer web portal access for all payers and interfaces with athenaOne • Responsible for training internal teams (Operations, Sales) as well as care center staff when appropriate. • Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality • Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs) • Other duties as assigned • High School Graduate • 3+ years experience in a medical billing office or equivalent claims experience • Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims • Advanced Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) • Experience with athenaHeath and/or athenaOne preferred • Must comply with HIPAA rules and regulations The hou