A/R Insurance Follow Up

Insurance Follow-up Representative

PRODUCTION INFO:

We do require staff to be working an average of 8 claims per hour so at least 65-70 accounts worked a day. A lot of their previous experience did not seem to have been production based.

Typically candidates that recently finished school for medical billing or very computer savvy tend to work best. Someone that can catch on quick and produce the productivity levels we need in order stay caught up. We have hired people in the past where just their lack of computer skills hindered their production leading to termination.

The primary purpose of the Accounts Receivable team is to pursue reimbursement of services rendered and achieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity.
The Follow Up Representative performs collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts and responding to insurance carrier correspondence and/or inquiries. This position holds additional duties with respect to research, client contact and participation in employee training with possible exposure to multiple practice management systems.

Responsibilities

• Responsible for resolving denials/appeal (Current Denials/Correspondence) Tasks within 72 hours of receipt
• Responsible for resolving unpaid claims that are Greater than 60 days from date of service
• Reviews previously worked claims a minimum of every 30 days
• Responsible for documenting daily accounts/claims worked on Productivity Board
• Ability to work 64 to 80 accounts daily
• Strong office and typing skills
• Attention to detail
• Positive attitude and ability to work independently and within a team

Qualifications

• High school diploma or equivalent equivalent accepted, College Preferred·

• A minimum of 1-2 years of experience in revenue cycle collections required. ·

• Previous experience in EMS preferred. ·

• Knowledge of CPT, ICD-9/10 and HCPCS codes ·

• Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment ·

• Attention to detail with the ability to identify/resolve problems and document the outcome ·

• Strong written and verbal communication skills ·

• Excellent analytical and problem-solving skills ·

• Ability to multi-task and recognize trends to effectively work A/R ·

• Intermediate skills with Microsoft Office applications: Word, Excel ·

• Initiative to learn new tasks and the ability to apply acquired knowledge to future duties·

• Flexibility, adaptability, and accountability are necessary for optimum client results