Representative II, Accounts Receivable at Cardinal Health

What Customer Service Operations contributes to Cardinal HealthCustomer Service Operations is responsible for providing outsourced services to customers relating to medical billing medical reimbursement and/or other services by acting as a liaison in problem-solving research and problem/dispute resolutionHybrid positionSchedule: Monday - Friday 8:00am - 4:30pmLocation: 8200 NW 33rd St. Suite 200 Doral FL 33122Job Summary:The Accounts Receivable Insurance Collector is responsible for the timely follow-up and resolution of insurance claims. This role ensures accurate and efficient collection of outstanding balances from insurance payers working to reduce aging accounts receivable and increase cash flow for the organization. This position is a Medicaid insurance associate on the revenue cycle management team.Responsibilities:Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.Contact insurance companies via phone portals or email to check claim status request reprocessing or escalate issues.Analyze denials and underpayments to determine appropriate action (appeals corrections resubmissions).Track and follow up on all submitted appeals until resolution.Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment.Document all collection activities in the billing system according to departmental procedures.Follow up on unpaid claims within payer-specific guidelines and timelines.Coordinate with other billing team members coders and providers to resolve claim discrepancies.Maintain up-to-date knowledge of payer policies coding changes and reimbursement guidelines.Ensure compliance with HIPAA and all relevant federal/state billing regulations.Flag trends or recurring issues for team leads or supervisors.Meet daily/weekly productivity goals (e.g. number of claims worked follow-ups completed).Assist with special projects audits or other duties as assigned.Qualifications:1-3 years of experience preferredHigh School Diploma GED or equivalent work experience preferredStrong knowledge of insurance claim processing and denial management preferred.Familiarity with Medicare Medicaid and managed care preferred.Proficiency in billing software (e.g. Waystar Noble House etc.) and Microsoft Office Suite.Excellent verbal and written communication skills.Ability to work independently and manage time effectively.Detail-oriented with strong analytical and problem-solving skillsWhat is expected of you and others at this levelApplies acquired job skills and company policies and procedures to complete standard tasksWorks on routine assignments that require basic problem resolutionRefers to policies and past practices for guidanceReceives general direction on standard work; receives detailed instruction on new assignmentsConsults with supervisor or senior peers on complex and unusual problemsAnticipated hourly range:$15.00 per hour - $22.57 per hourBonus eligible:NoBenefits:Cardinal Health offers a wide variety of benefits and programs to support health and well-being.Medical dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programsApplication window anticipated to close:12/01/2025 *if interested in opportunity please submit application as soon as possible.The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including but not limited to a candidates geographical location relevant education experience and skills and an evaluation of internal pay equity.Candidates who are back-to-work people with disabilities without a college degree and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race religion color national origin ancestry age physical or mental disability sex sexual orientation gender identity/expression pregnancy veteran status marital status creed status with regard to public assistance genetic status or any other status protected by federal state or local law.To read and review this privacy notice click hereRequired Experience:Unclear Seniority Key Skills Journal Entry,Customer Service,Collection effort,A/R Management,Past due Account,General Ledger Accounting,Accounting,Excel,Payroll,Financial statement,Collection procedures,Customer Account,Delinquents Account,Direct Reports,Timely collections Employment Type : Full-Time Experience: years Vacancy: 1