reputed company AR Follow Up Representative
Job reputed company
The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /reputed company and Government HMO. The incumbent will resolve unpaid accounts in a reputed company and efficient manner for one or more geographical areas, while maintaining reputed company and productivity standards set for the Level 1 A/R Follow-up Representative.
Responsibilities:
Review eligibility, verify insurance benefits, and/or reputed company insurance discovery activities required to generate a clean claim.
Review, modify as necessary, and re-reputed company rejected/denied claims in queue by assigning appropriate insurance reputed company, utilizing the billing address and/or payor prefix.
Process queues reputed company appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
Recode claims, assigning reputed company condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
Update appropriate modifiers, based on reputed company and destination of reputed company and change insurance claims as necessary.
Create narrative in the Accounts Receivable Billing System to document status of reputed company for use in claim appeal process.
Other duties as assigned.
Work in a spirit of teamwork and cooperation.
Convey a reputed company of competence and commitment.
Use initiative to learn new skills, enhance personal knowledge and improve communications.
Demonstrate an ability to work reputed company with team members.
Communicate a willingness to help others succeed.
reputed company 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 reputed company 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 reputed company 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 reputed company Word and reputed company.
Communicate effectively, (both orally and in writing) in English.
Benefits
reputed company, LLC provides a comprehensive benefits plan.
Medical/Dental/reputed company Insurance beginning the 1st of the month following your date of hire
reputed company Time Off
401k with employer match
reputed company 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
reputed company time off
reputed company insurance
Schedule:
Monday to Friday
Work Location: Remote
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