Insurance Claim Follow up

Full Time
Remote
Posted
Job description

Pay: $18-$20/hour

Remote - if you live within an hour of Plano TX you may be asked to come onsite to pick up the equipment the first day and occasionally come in to assist with mailed claims.

3 month contract, possibility of extension

Schedule: M-F can start between 7A - 8:30A CST and be done between 3:30P - 5P CST

Target Start date 12/05/2022

URPOSE AND SCOPE: The Patient Account Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account Representative - collections provides outstanding customer service to customers and vendors through effective and timely communication.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general supervision, identify and resolve routine outstanding claims. Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues. Assist in the resolution of outstanding payments from past due accounts. Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. Perform all responsibilities in compliance with company policies and procedures; ensuring timely and complete documentation of activities performed. May serve as a point of contact for customers and/or external vendors in response to inquiries and unresolved issues. May mentor other staff as applicable. Assist with various projects as assigned by direct supervisor. Other duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasionally lift and/or move up to 50 pounds.

EDUCATION: High School Diploma required

EXPERIENCE AND REQUIRED SKILLS: General computer skills with working knowledge of word processing, spreadsheet, and email applications. Detail oriented with good analytical and organizational skills. Good interpersonal skills with the ability to work cohesively within a team environment. Excellent oral and written communication skills to effectively communicate with customers and all levels of management.

  • Must have 2-4 years of prior Revenue Cycle experience.
  • Ideal candidate will have 4 years or more of experience with claim edits, claim rejections, working with a clearing house, etc.
  • Must be able to read EOBs, understand the difference between different denials, and medical coding.
  • This role is highly analytical and can require lots of research.
  • Experience utilizing Athena or Acumen EPIC systems highly preferred.
  • Must have experience with Medicare / Medicaid collection.
  • Need to have solid A/R Revenue Cycle background.
  • Experience with medical billing would be a bonus and help tremendously with the role.

Job Types: Full-time, Temporary

Pay: $18.00 - $20.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Application Question(s):

  • REQUIRED: What city and state are you located in?

Education:

  • High school or equivalent (Required)

Experience:

  • Medicare / Medicaid Collection: 1 year (Required)
  • Insurance Collections: 4 years (Required)
  • Claim Edits: 1 year (Preferred)
  • Claim Rejections: 1 year (Preferred)
  • Appeals and Denials: 1 year (Required)
  • Medical billing: 1 year (Required)
  • Acumen Epic: 1 year (Preferred)
  • Athenahealth: 1 year (Preferred)

Work Location: Remote

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