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

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