AR Follow Up Representative

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Job description

Hi,

Greetings from Yasmesoft

I am Santhosh, a Sr. Recruiter with YASME SOFT INC a leading IT staffing organization. I came across your profile in one of the job boards and feel that your skills and professional experience would be a good fit for a position with one of our premier clients. Please review the job description below. If you are interested in this position, please forward your updated resume for immediate consideration and preferred time to discuss this opportunity further.

We are looking for AR Follow Up Representative w/Profee Medicare Experience and the following are a more detailed description of the job.

Job Title: AR Follow Up Representative w/Profee Medicare Experience

Location: REMOTE

Our client, a reputable 3rd party billing firm is looking to hire Accounts Receivable Follow Up Representatives with Profee Medicare experience to assist their growing department. Our client is housed in a freshly remodeled office, where they are known for their great culture and professionalism. These positions will be staffed on a temp to hire basis and will pay 19-20 per hour, based on prior experience.

The A/R Follow Up Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.

Duties and responsibilities

Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites

Meets and maintains daily productivity/quality standards established in departmental policies

Meets and maintains quality standards established in departmental policies

Uses the MPower workflow system, client host system and other tools available to them to collect payments and resolve accounts

Adheres to the policies and procedures established for the client/team

Knowledge of timely filing deadlines for each designated payer

Initiate appeals when necessary

Ability to identify and correct medical billing errors

Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process

Ability to analyze, identify and resolve issues causing payer payment delays

Ability to analyze, identify and trend claims issues to proactively reduce denials

Understanding of under payments and credit balance process

Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results

Qualifications

1 year experience in insurance collections, including submitting and following up on claims for a Medical Practice, Ambulatory Surgical Center, Hospital and/or other Medical Facility/Medical Billing Company

Profee Medicare Experience

Physician/Professional Billing: 1 year

Knowledge of the denied claims appeals process

Knowledge of Worker's Comp and PIP a plus

Previous experience in Hospital/Facility or Physician billing

Extensive knowledge of individual payor websites, including Navinet and Novitasphere

Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes

Ability to work well individually and in a team environment

Proficiency with MS Office. Must have basic Excel skillset

Experience with GE Centricity or EPIC PB preferred

Please submit your resume to schedule a time to interview!

Thanks & Regards,

Santhosh

YASME SOFT INC

Certified Minority Business Enterprise

An ITServe Alliance member

1212 Corporate Drive Suite # 150
Irving, TX 75038
Email ID:

Website:

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