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Job details

Biller/AR Follow Up Representative

Overview:
The biller and AR follow up rep requires someone with expertise on working rejections/AR follow up/resolving denials and with working knowledge on MediTech .
Responsibilities:
  • Team player with excellent organization, communication, and written skills
  • Proficiency in Microsoft Office, including Excel and Word
  • Basic math and typing skills
  • Understands the critical delineations of patient status (outpatient, inpatient, and observation) based on payor regulations.
  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
  • Understanding of government, Medicare and Medicaid claims
  • Review and updates all patient and financial information accurately as given
  • Verifies that information is accurate as to individual or insurance company responsible for payment of bill
  • Monitors all billings for accuracy, updating any that contain known errors
  • Monitors Medicaid/healthy options coupons to assure services are billed within expected timeframes
  • Bills all hospital services to primary insurer or patient correctly and within expected timeframe
  • Follows up with insurance companies on all assigned accounts within expected timeframe
  • Explains hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts
  • Identify and report underpayments and denial trends
  • Ability to analyze, identify and resolve issues causing payer payment delays Initiate appeals when necessary
  • Basic knowledge of healthcare claims processing including: ICD-9/10, CPT and HCPC codes, as well as UB-04
  • Ability to manipulate excel spreadsheets and communicate results
  • Communicate professionally and timely with internal and external customers.
  • Provide helpful assistance in anticipating and responding to the needs of our customers.
Qualifications:
EDUCATION/EXPERIENCE REQUIRED
  • 2-5 years of experience in the Healthcare Revenue Cycle that includes working rejections/AR follow up/resolving denials and with working knowledge on MediTech
  • CPC Coding Certification preferred
  • Knowledge of CPT and ICD coding
  • Knowledge of Medicare and third-party payer regulations and guideline
KNOWLEDGE, SKILLS, AND ABILITIES
  • Requires someone with expertise on working rejections/AR follow up/resolving denials and with working knowledge on MediTech
  • Hospital/Facility billing experience
  • 2-3 years of hands-on experience in insurance collections, with expertise in claims submission and follow-up
  • Solid understanding and knowledge of payer contractual requirements, registration workflows, and prior authorization requirements to maximize reimbursement and minimize write-offs.
  • Maintains current knowledge of medical modalities as well as new protocols established for patient populations.
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
  • Basic understanding of human anatomy, specifically musculoskeletal and neurology
  • Proficient use of CPT and ICD-10 codes
  • Able to meet productivity with 10 authorizations per hour with 95% accuracy.
  • Excellent computer skills including Excel, Word, and Internet use.
  • Detail oriented with above-average organizational skills.
  • Excellent customer service skills; communicates clearly and effectively
  • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
  • Willingly accept feedback.
  • Ability to problem-solve and work independently.
  • Dependable and reliable in achieving goals.
  • Familiarity with medical terminology and abbreviations
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CEO of GeBBS Healthcare Solutions
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Milind Godbole
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Partnering with clients to help them achieve their strategic business objectives by deploying business impacting solutions with passion, excellence and speed of execution.

5 jobs
TEAM SIZE
DATE POSTED
August 6, 2023

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