Calling for all Medical AR Specialists! Accountemps is looking for highly motivated individuals who have done AR follow up to join a fast growing company in the Sandy Springs/Dunwoody area. Forward your resume to Jonas.firstname.lastname@example.org if interested! Responsibilities: Knowledge of insurance guidelines for different states including Medicare, state Medicaid and workers comp. Reading and interpreting insurance explanation of benefits. Check insurance payments for accuracy and compliance with contract discount Ensure all insurance companies regarding any discrepancy in payments if necessary Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensure claim information is complete and accurate. Submit clean insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form. Follow up with the insurance company on unpaid or rejected claims. Resolve issue and re-submit claims. Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal. Post insurance and patient payments using medical claim billing software. For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer. Respond to inquiries from insurance companies, patients and providers. Verify patient benefits eligibility and coverage. Ability to look up ICD diagnosis and CPT treatment codes from online service or using traditional coding references. Excellent communication, time management, organizational skills, and be comfortable communicating via phone. Demonstrated ability to be flexible, work collaboratively among internal and external departments, as applicable to identify and help resolve enterprise-wide challenges Demonstrated ability to accurately type 30 wpm Demonstrated service and success in teamwork and consistent high productivity and quality Assist the Customer Service team in taking patient phone calls.
Accounts Receivable (AR) Billing Collection Post Payments ICD-9 ICD-10 ICD CPT
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