Healthcare AR Follow Up Representative

Job description

The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /Medicaid and Government HMO. The incumbent will resolve unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining quality and productivity standards set for the Level 1 A/R Follow-up Representative.

Responsibilities: • Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim. • Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix. • Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims). • Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary. • Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary. • Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process. • Other duties as assigned. • Work in a spirit of teamwork and cooperation. • Convey a sense of competence and commitment. • Use initiative to learn new skills, enhance personal knowledge and improve communications. • Demonstrate an ability to work well with team members. • Communicate a willingness to help others succeed. • Share workspace and resources as necessary.

Qualifications: • High School Diploma or GED required, Associates Degree or certificate of completion from a coding and billing school preferred. Examples: Certifications • Minimum one (1) year previous medical billing experience required; ambulance billing experience preferred. • Medical transportation processes. • Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet. • Process of signature and paperwork compliance. • Payor-specific requirements for one or more geographical areas and/or financial classes. • Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service. • ICD-9 coding/condition codes and procedure codes. • Government coverage guidelines, filing limits and necessary prior authorizations. • Medical terminology and insurance terminology. • Internal Compliance guidelines. • Appeal levels and the redetermination process. • HIPAA requirements. • Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines). • Basic understanding of Microsoft Word and Excel. • Communicate effectively, (both orally and in writing) in English.

Benefits

Integra Connect, LLC provides a comprehensive benefits plan.
• Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
• Paid Time Off
• 401k with employer match
• Paid Holidays and Floating Holiday

Equal Opportunity Employer

Job Type: Full-time

Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• Monday to Friday

Work Location: Remote

Apply Job!