Hybrid AR Follow Up Specialist - EngageMED bei EngageMED, Inc.

Description

Position: AR Follow Up Specialist

Department: Revenue Cycle-9002

FLSA Status: Full Time; Exempt

Reports To: Billing Office Manager

JOB DESCRIPTION –

JOB SUMMARY:

A nonexempt position responsible for the proper and timely processing of claims and payments to providers.

Supervisory Responsibilities:

None

Duties/Responsibilities:

• Follows up on denied or pended medical claims and answers associated correspondence.
• Resubmits corrected claims to payers and files appeals if necessary
• Analyzes unpaid claims and determines correct course of action to resolve.
• Communicates payer trends or issues to management.

Required Skills/Abilities:

• Education: High school diploma. Some college preferred but not required.
• Experience: 2 to 3 years health care experience
• Working knowledge of CPT and ICD10
• Knowledge of health care insurance claim practices and compliance.
• Knowledge of computer systems, programs, and applications.
• Knowledge of medical terminology.
• Skills:
• Skill in researching and reporting claim information.
• Skill in trouble-shooting claim insurance problems.
• Skill in written and verbal communication and customer relations.
• Abilities:
• Ability to work effectively with physicians, other medical staff, and external agencies.
• Ability to identify and analyze claim problems.

OTHER KEY SKILLS:

• Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
• Ability to understand, apply and analyze financial data.
• Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
• Detail oriented and organized with the ability to easily identify areas that require improvement.

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