Overview :
The Follow-Up Representative is responsible for pursuing collection of all receivables from payers.
Responsibilities :
- Provides continual follow up on outstanding accounts through contacts and inquiries to payers to facilitate prompt resolution or payment based on the Follow-Up Department guidelines.
- Prepares and posts any necessary adjustments and claim changes on accounts though the system based on the follow up to expedite the collection process and to ensure the accuracy of the account daily.
- Confers with payers to determine the reason for unpaid balances and to negotiate payment commitments.
- Reviews assigned accounts, processes the debit and credit adjustments, rebills the account to payers and systematically moves monies back to the insurance or patient bucket and appropriate next action.
- Analyzes and calculates the payment and contractual amounts on remittances received from payers, and includes denied claims to ensure that patients are billed appropriately.
- Requests refunds or retraction as appropriate.
- Responsible for pursuing collection of all receivables from specialty payers (Workers' Compensation, auto / liability, foundations, and any other specialty payer).
Qualifications / Requirements :
- One year of experience in hospital billing required.
- Follow up or collections experience preferred, EPIC experience preferred.
- Demonstrated knowledge of collections management.
- Understanding of reimbursement methodologies, terms and payer billing requirements.
- Patient accounts and payment posting experience.
- Strong with identifying underpayments / overpayments.
Schedule / Shift : 8 : 30am-5pm
Payment Review Specialist
Strong with identifying underpayments/overpayments. Provides continual follow up on outstanding accounts through contacts and inquiries to payers to facilitate prompt resolution or payment based on the Follow-Up Department guidelines. Confers with payers to determine the reason for unpaid balances a...
Benefits Advisor (Part time) - Work from home
Remote position (Work from home). Comfortable working remotely and independently. ...
Ab sofort Business Analyst (m/w/d) in Vollzeit
Conducts analyses based on operational, market, economic and/or financial data in order to build business cases and models to derive business insights and inform decisions. Builds the business cases for presentation to management/leadership to identify and/or improve OTC portfolio and commercial bus...
Customer Service Representative
Review and analyze customer scorecards and service levels monthly, to identify and resolve any issues that may be negatively affecting our service levels and to avoid penalties. Handle daily customer service functions for Chain, Wholesale, Distributor and Mass Merchandisers for the Generic Rx sales ...
Billing Specialist
The Billing Specialist will compile, compute, record and prepare invoices, accounting, statistical, and other numerical data for billing purposes. We are currently seeking a results-oriented and detail driven Billing Specialist with general bookkeeping and accounting experience to join our headquart...
Billing Specialist
Monitor billing changes and maintain billing case queue. Assist with billing and billing reconciliations. Supporting billing related tasks in fast paced environment. Communicate with other departments to resolve billing issues. ...
Work from Home – Quality Assurance Tester - $45 per hour
A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contrac...
Equity & Options Trader (Work From Home)
Maverick Trading, a 26-year old proprietary trading firm, is looking to hire experienced (5+ years) and entry-level (1+ years) equity and option traders. Join our community of seasoned traders, and benefit from ongoing coaching, educational courses, and regular meetings. After watching the video, if...
Administrative Assistant - One Medical
The OpportunityAs an Administrative Assistant (Internally known as a Member Support Specialist) you will be an ambassador for patients in office, with a mastery of human connection and a strong drive for service. ...
Business Analyst
Technology drives our success and in order to continue to provide our customers with a quality experience, we are looking for a skilled Business Analyst to join our expanding team. Business Analyst Job Description. Ideal candidate’s would have 1 – 2 years experience serving as a Business Analyst. Bu...