Medical Billing/AR Follow up - Remote | WFH

Duties and Responsibilities

Support Team Members: Assist AR representative team members by answering questions and providing ongoing support to ensure their success.

Training: Provide initial training on the client host system to new team members.

Research Assistance: Support AR follow-up representatives with research on AR-related projects.

Productivity and Quality Tracking: Assist in tracking the productivity and quality of AR representatives.

Performance Evaluation: Identify areas of improvement through one-on-one evaluations of the AR representative team.

Claims Follow-Up: Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims.

Productivity and Quality Standards: Meet and maintain daily productivity and quality standards as established in departmental policies. Support training needs to ensure team success.

Workflow Management: Use the workflow system, client host system, and other tools to collect payments and resolve accounts.

Policy Adherence: Adhere to policies and procedures established for the client/team.

Timely Filing: Maintain knowledge of timely filing deadlines for each designated payer.

Appeals Process: Initiate appeals when necessary and ensure appropriate documentation and communication for recovery processes.

Error Identification and Correction: Identify and correct medical billing errors.

Issue Analysis: Analyze, identify, and resolve issues causing payer payment delays. Trend claims issues to proactively reduce denials.

Underpayments and Credit Balances: Understand and manage underpayments and credit balance processes.

Special Projects: Perform special projects as needed, utilizing Excel spreadsheets and effectively communicating results.

Professional Interaction: Act cooperatively and courteously with patients, visitors, co-workers, management, and clients.

HIPAA Compliance: Use, protect, and disclose patients' protected health information (PHI) in accordance with HIPAA standards.

Qualifications

Insurance Collections Experience: Experience in insurance collections, including submitting and following up on claims for medical practices, facilities, billing companies, surgical centers, or hospitals.

UB-04 Claims Processing: Experience with UB-04 claims processing.

System Experience: Familiarity with the client's host system.

Training Experience: Experience training new users.

Physician/Professional Billing Knowledge: Understanding of the denied claims and appeals process.

Payor Websites Knowledge: Extensive knowledge of individual payor websites, including Navinet and Novitasphere.

Medical Terminology Proficiency: Knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.

Team and Individual Work: Ability to work well both individually and in a team environment.

MS Office Proficiency: Proficiency with MS Office, including basic Excel skills.

Practice Management Systems: Experience with practice management systems such as EPIC PB, Allscripts, and/or Cerner.

Communication Skills: Strong oral and written communication skills.

Organizational Skills: Strong organizational skills.

This position offers a dynamic and supportive environment where your contributions will have a direct impact on the success of our AR team. If you are a detail-oriented professional with a passion for healthcare administration and a knack for problem-solving, we encourage you to apply!

Employment Type: Full-Time