Accounts Payable Representative

Role Overview

• The Accounts Payable Representative is responsible for ensuring accurate payments to vendors/providers which includes processing invoices/claims, conducting research, obtaining approval, recordkeeping, and maintaining vendor/provider relationships.
• Process invoices/check requests using automated AP system
• Enters vouchers into AP system and reviews for accuracy.
• For employee expense reports, make sure all receipts are attached and adheres to policy.
• Assigns correct affiliate/GL account coding to each voucher.
• Assigns approver and submits for approval.
• Adds any voucher that requires special attention to the special handling log.
• For new vendors, obtains a copy of the vendors’ W-9 as well as ACH information for proper set-up into the system.
• Communicates with vendors and teams with regards to problems/questions concerning invoices.
• Updates all required logs.
• Reviews system queues/reports to ensure all invoices are being paid in a timely manner.
• Assists with annual 1099 process.
• Efficiently and accurately analyzes claim submissions to determine whether the claim should be accepted, rejected, approved or denied for payment based on the legally binding agreement and/or fee schedules and the patient conditions.
• Resolves pended claims, secondary review claims and prior approval requests.
• Reviews and addresses provider inquiries regarding claim adjudication, including incoming phone calls, correspondence, and appeals.
• Research requests for overpayment/underpayment efficiently and accurately, submit data and resolution to the supervisor for final determination.
• Maintains a thorough knowledge of third-party billing and reimbursement requirements.

Requirements

• Minimum of one (1) year accounting experience to include General Ledger, AP, A/R or Financial Reporting
• For Patient Payables
• preferred two (2) years experience in medical claims processing, medical biller or coder.
• Computer experience to include Microsoft (Outlook, Excel, Word) and Windows Explorer
• Team player and self-starter who is accurate and detail-oriented
• Professional attitude
• Highly organized, with the ability to effectively manage many tasks simultaneously
• Able to maintain a strict level of confidentiality
• Proficient in time management skills with the ability to prioritize a variety of duties and complete projects within assigned time frames

Benefits

• Comply with all State, federal and local government regulations
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner
• Promote the Company through participation in community and professional organizations
• Participate proactively in improving performance at the organizational, departmental and individual levels
• Improve own professional knowledge and skill level
• Advance electronic media skills
• Support Company research and educational activities
• Share expertise with co-workers both formally and informally
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position