Insurance AR Follow-Up - Healthcare

MediSys Management, LLC/FRR Recovery, Inc offers a robust benefits package, which is designed to help you and your dependents stay healthy, feel secure and maintain a work/life balance. This is just one way we strive to provide employees with a rewarding workplace. As an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.

Summary of Responsibilities: Responsible for accurate and timely follow-up of 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 Out Bound 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.

Physical Requirements:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The work requires the following activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed primarily indoors
• *The employee must occasionally lift and/or move up to 25 pounds.

Job Type: Full-time

Pay: $21.00 - $26.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person