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SalaryOhio Gastroenterology Group is the leading provider of general advanced GI procedures with several state-of-the-art facilities throughout Central Ohio. We employ a talented team of specialists who perform more GI procedures each year than any other practice in our area.
We currently have a full-time opening for an AR Follow Up Specialist.
Primary Job Functions:
- Monitors unresolved account balances according to the Aged Receivables and assigned tasks
- Validates third-party payer transactions and identifies reasons for delay of payment through the review of EOBs via paper, payer portals, and/or phone calls, determines next steps, and documents actions taken in the billing system
- Maintains knowledge of third-party filing requirements and ensures claims are not rejected due to timely filing
- Resolves third-party claim rejections and/or denials in a timely manner
- Prepares appeals via appropriate means according to carrier guidelines for all claims that require reconsideration for appropriate or additional payment
- Makes necessary claim adjustments and rebills third party payers as needed
- File claims to secondary payers with primary EOB’s/COB information
- Collaborates with the billers and other internal departments to satisfy the requirements for resolving unpaid insurance balances
- Posts adjustments, transfer of responsibility, and/or initiates refunds, as necessary.
- Ensures coding is compliant and up to date
- Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays.
- Ensures payments are made according to third-party contracts
- Reports payer specific issues to Revenue Cycle Supervisor in a timely manner
- Conveys observations of trends to the Revenue Cycle Supervisor to encourage best practices and mitigate repeat issues
- Makes recommendations to the Revenue Cycle Supervisor regarding non-collectable accounts
- Other duties as assigned.
Secondary Job Functions:
- Opening, sorting, delivering and scanning incoming correspondence
- Processes all Returned Mail including skip tracing and contacting various resources for information
- Assists with data entry
- Attend meetings and training sessions
- Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations
- Maintain knowledge and adhere to related governmental regulations and all policies set forth by Ohio Gastroenterology Group Inc and its related parties
Knowledge, Skills and Abilities
- Knowledge of third-party payers and prior-authorization requirements
- Understanding of basic medical terminology and procedures
- Proficient use of office equipment, such as copier and fax machine, phones, etc.
- Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems.
- Strong time management skills
- Ability to work independently with minimal supervision and to manage multiple priorities.
- Strong written and verbal communication skills
- Ability to effectively communicate with a variety of people under stressful circumstances.
- Neat appearance, professional demeanor and pleasant voice
- Fluent in English
Credentials and Experience
- Must have high school diploma or equivalent
- One (1) year of medical billing and coding, revenue cycle, and/or AR follow-up experience
- Experience with eClinicalWorks a plus
- Experience in GI a plus
Physical Demands
- Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).
Work Environment
- Minimal medical office exposure that may require contact with adult patients
- Office workstation environment with numerous employees
Work Hours
Monday-Friday 8:00AM-4:30PM on-site with potential to work from home at a later date.
Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes:
- Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment
- Company paid life insurance and short term disability
- Generous paid time off plans (vacation, sick and personal)
- 7 paid holidays
- Two retirements plans:
- 401(k) plan that offers a 3% safe harbor contribution and annual profit sharing contributions after 12-18 months of employment and 1,000 hours worked.
- Cash balance pension plan – company contributes 2.5% and offers full vesting after 3 years of employment.
- Tuition reimbursement programs
- Employee appreciation programs
- Uniform reimbursement programs
- Growth opportunities
- Learning and development training
Apply now to join a great company!
