Insurance AR Follow-up Physician Billing

Job DescriptionJob Description

We’re seeking qualified Insurance AR Follow-up representatives with knowledge and experience in handling outstanding claims, responding to inquiries and correspondence for assigned accounts in accordance with established procedures. Ensure that all external customers (patients/visitors/guests) receive personalized prompt attention. Strives to address external and internal customer needs and concerns. Handles telephone inquiries, resolving customer questions.

Essential Duties and Responsibilities:

• Physician Billing experience.
• Knowledge of Medicare/Medicaid Governmental Benefits & Regulations.
• Strong knowledge of Medical Insurance Coverages.
• Submit Primary/Secondary Insurance and follow-up on same.
• Verifying accuracy of patient insurance and demographic information.
• Perform follow up on all outstanding accounts assigned in accordance with established policies and procedures.
• Place Outbound Calls to Insurance for Status of Outstanding Claims.
• Analyze Remittance/Explanation of Benefits.
• Submit Appeals for Denials and/or Underpayments.
• Determine Patient Responsibility.
• Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies.
• Strong communication, documentation, follow up, analytical and computer skill sets.
• Familiarity with the Epic System preferred. Ability to accurately update patient accounts, update insurance information, initiate insurance billing.
• Performs other job-related duties, as required, and assigned.

Qualifications:

• High School Diploma or General Education Degree (GED).
• Bilingual Preferred
• 1-2 Years prior Physician Billing experience, including carrier follow up.
• Knowledge of EPIC, preferred.
• Knowledge of HIPAA.
• Excellent written and oral communication skills.
• Computer literate.
• Ability to prioritize and multi-task with strong organizational and analytical skills.
• Ability to work independently on assigned tasks and accept direction.
• Participation in all educational activities, seminars, and webinars.

Location: Farmingdale, NY, US

Posted Date: 11/1/2024