AR Follow Up Representative
Yasmesoft INC
2024-10-04 03:43:38
Atlanta, Georgia, United States
Job type: fulltime
Job industry: Banking & Financial Services
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
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Website: