EngageMED Inc
Overview
Description
Position: AR Follow Up Specialist
Department: Revenue Cycle-9002
FLSA Status: Full Time; Exempt
Reports To: Billing Office Manager
Job Description —
JOB SUMMARY:
A nonexempt position responsible for the proper and timely processing of claims and payments to providers. Responsibilities
Follows up on denied or pended medical claims and answers associated correspondence. Resubmits corrected claims to payers and files appeals if necessary. Analyzes unpaid claims and determines correct course of action to resolve. Communicates payer trends or issues to management. Qualifications
Education: High school diploma. Some college preferred but not required. Experience: 2 to 3 years health care experience. Working knowledge of CPT and ICD10. Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Knowledge of medical terminology. Skill in researching and reporting claim information. Skill in trouble-shooting claim insurance problems. Skill in written and verbal communication and customer relations. Ability to work effectively with physicians, other medical staff, and external agencies. Ability to identify and analyze claim problems. Other Key Skills
Team player – possess a positive attitude and demonstrates honesty and integrity in all endeavors. Ability to understand, apply and analyze financial data. Strong work ethic with the ability to self-start and work independently or as part of a diverse team. Detail oriented and organized with the ability to easily identify areas that require improvement.
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Description
Position: AR Follow Up Specialist
Department: Revenue Cycle-9002
FLSA Status: Full Time; Exempt
Reports To: Billing Office Manager
Job Description —
JOB SUMMARY:
A nonexempt position responsible for the proper and timely processing of claims and payments to providers. Responsibilities
Follows up on denied or pended medical claims and answers associated correspondence. Resubmits corrected claims to payers and files appeals if necessary. Analyzes unpaid claims and determines correct course of action to resolve. Communicates payer trends or issues to management. Qualifications
Education: High school diploma. Some college preferred but not required. Experience: 2 to 3 years health care experience. Working knowledge of CPT and ICD10. Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Knowledge of medical terminology. Skill in researching and reporting claim information. Skill in trouble-shooting claim insurance problems. Skill in written and verbal communication and customer relations. Ability to work effectively with physicians, other medical staff, and external agencies. Ability to identify and analyze claim problems. Other Key Skills
Team player – possess a positive attitude and demonstrates honesty and integrity in all endeavors. Ability to understand, apply and analyze financial data. Strong work ethic with the ability to self-start and work independently or as part of a diverse team. Detail oriented and organized with the ability to easily identify areas that require improvement.
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