Position : Accounts Receivable Billing Rep (Denials)
Location : Stuart FL
Duration : 12 Months contract
Total Hours/week : 40.00
1st shift
Shift timings: 8:30am5:00pm EST
Description:
Position Purpose:
- To process medical billing claims collect patient or provider payments resolve questions and problems with a customers accounts process patient refunds appeals to include redeterminations and resubmissions of billing to patient payers for payment on medical supply orders
Primary Duties and Responsibilities
- Receive payment denials and to investigate the reason and rectify the situation with the payer or patient
- Receive inbound and place outbound calls from and to customers Medicare Medicaid and Commercial insurance providers regarding patient accounts
- Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response
- Document status of billing and payment process in patient account for future followup Keep current on payer requirements via research and coaching to ensure guidelines and procedures are being met for each payer
- Answer and follow up on calls from patients with billing questions
- Complete all end of month reports as requested directed or assigned
- Complete all internal system service ticket requests as assigned
- Work miscellaneous projects and tasks on an as needed basis
Ancillary Duties and Responsibilities:
- Maintain a positive work atmosphere that embodies Liberators philosophy Professional excellence teamwork and integrity.
- Maintains a production level between 2040 accounts per day ensuring quality of work is above average.
- Production rates are at the discretion of management and are subject to change with our without prior notification.
- Maintains a better than average attendance score
- Performs other duties and tasks as assigned
Reporting Relationship Responsibilities:
- Supervisory responsibilities
- Provides work direction only
- Provides work direction plus has responsibility for hiring promotions transfers performance management discipline and discharge.
Minimum Requirements or Qualifications (To perform this job successfully an individual must be able to perform each
- Essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)
Education/Experience:
- High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 13 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.
Skills:
Language:
- Ability to read analyzes and interprets medical supply publications technical procedures and/or training tools. Ability to write internal and external business correspondence. Ability to effectively present information and respond to questions from management team members and/or customers.
Math:
- Ability to calculate figures and amounts such as discounts interest commissions proportions and percentages.
- Ability to apply intermediate math skills.
Reasoning:
- Ability to solve practical problems and deal with a variety of variables. Ability
- To interpret a variety of instructions furnished in written oral diagram or schedule form.
- Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
Computer:
- Knowledge of Microsoft Office Applications Access or other database software.
Telecommunications:
- Ability to utilize or knowledge of call center telecommunications software
Licensure or Certifications
Required:
- No certifications required
Work Requirements:
- Ability to work some evening shifts weekends and overtime as needed
Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job the employee is frequently required to walk sit; use hands to finger handle or feel and talk or hear.
- The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 lbs.
Work Environment:
- The 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.
- While performing the duties of this position the employee performs tasks in a temperature controlled office environment under normal office conditions. The noise level in the work environment is usually moderate.
- The work environment involves minimal exposure to hazards or physical risks which require following basic safety precautions.