Medical Billing Specialist (Follow Up Representative)

Title:Follow Up Representative

Location: Remote - Candidate MUST be in one of these States: NV, ID, AZ, NM, TX, MT, OK, WY, SD, ND, MN, MO, KY, TN

About the Role: If you LOVE working in a Revenue Cycle or Medical Billing in a fast-paced environment, but from the comfort of your own home, then this might be an exciting opportunity for you. We are rapidly growing and leading physical therapy (PT) clinic platform in the U.S. We own and operate 200+ PT clinics that provide a variety of outpatient rehabilitation services, including physical therapy, occupational therapy, hand therapy and other ancillary services. Voted Glassdoor’s “Best Places to Work 2021”, we are seeking an independent and extremely detail oriented Follow Up Representative. The position is responsible for the full range of Payor Follow Up with different types of Payors. This position is full time (40 hours/week, Monday-Friday).

About Our Company:

Founded in 1991, Physical Rehabilitation Network (PRN) is a physical therapy organization headquartered in Carlsbad, California. We currently support over 200 independently owned and operated physical rehabilitation clinics across sixteen states with more than 1,800 employees.

As the leading, therapist-friendly physical rehabilitation organization in the west, our purpose is to provide our therapist partners full operational and administrative support so they can focus on what they do best deliver the highest levels of quality care and experiences for patients.

Job Duties:

• Manage primary and secondary claims
• Respond promptly to billing inquiries from patients, insurance companies and departments
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Resolve denials and submit appeals
• Utilizes the most efficient resources to secure timely payment of open claims
• Research assigned correspondence and takes necessary action to resolve requests
• Ensures daily accomplishments contribute toward company goals for A/R
• Resolve accounts in follow-up queues

Job Requirements:

• High School/G.E.D requirement or equivalent combination of education and experience required
• 1-year prior medical receivable collections experience preferred
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Ability to understand claim denials/rejections
• Ability to read an Explanation of Benefits
• Knowledge of medical terminology

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical Collections: 1 year (Required)
• Payor Relations: 1 year (Required)

Work Location: Remote