Physician AR Follow Up Representative

$30,000 - $45,000 yearly
  • Medi-Centrix
  • Remote
  • May 01, 2022
Full time Accounting Admin-Clerical Customer Service Health Care Insurance

Job Description

Job Details

Job Type

Full Job Description

Company Overview

Medi-Centrix offers a physician-focused approach to revenue cycle management, data extraction, and decision support. We help physicians navigate the healthcare landscape as it evolves and prepare you for participation in value-based care arrangements and bundled payment models. To ensure that our strategy and deliverables continue to address the most pressing needs of today's physician community, we rely on our Physician Advisory Board to provide valuable insights.

Job Summary

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

Responsibilities and Duties

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

  • Identify trends and issues and assist with developing solutions to improve collections process

  • 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

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

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

  • Meets and maintains quality standards established in departmental policies

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

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

  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients

  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

  • Work independently from assigned work queues

  • Maintain confidentiality at all times

  • Maintain a professional attitude

  • Other duties as assigned by the management team

Qualifications and Skills

  • 3 years’ 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

  • Physician/Professional Billing: 1 year

  • Previous Remote work experience strongly preferred: at least 1 year

  • 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 skill set

  • Experience with EPIC PB preferred

  • Experience with RCx preferred

  • Experience with Allscripts preferred

  • Experience with EClinical Works (ECW) preferred

  • Strong communication skills/oral and written

  • Strong organizational skills

Working Conditions

General office environment

  • While performing the duties of this job, the employee is occasionally required to move around the work area

  • Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear

  • The employee must be able to follow directions, to get along with others, and handle stress

  • The noise level in the work environment is usually minimal

MediCentrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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