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Medical Accounts Receivable

3 months ago

Chattanooga, United States Medical Personnel Services Full time
Job DescriptionJob Description

POSITION SUMMARY

Primarily responsible for effective collection on patient accounts, accounts receivable follow up, and reimbursement analysis.

ESSENTIAL SKILLS AND EXPERIENCE

  • Two (2) year college degree preferred AND greater than (3) years experience in a medical accounts receivable roles such as:

  • Accounts Receivable Representative

  • Patient Collections

  • High school diploma or GED from an accredited institution

  • Working knowledge of medical, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies

  • Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA

  • Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment

  • Fluency in a language in addition to English (Spanish preferred

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

POSITION REPONSIBILITIES/ESSENTIAL

  • Review outstanding claims to determine what action needs to take place and make status calls to insurance companies

  • Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment

  • Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients

  • Answer patient calls relating to questions about their bills

  • Update demographic and payer related information obtained from the patient

  • May correct errors including misapplied payments/adjustments and applying account credits

  • Prepare refund requests for management approval

  • Responsible for the generation and mailing of claims

  • Work payer rejects and denials

  • Support and train site checkout staff

  • Support management on special projects

  • Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools

Company DescriptionMPS is a specialized personnel agency focused on serving the physicians of our community by providing the most qualified candidates for their practices, making their practices run more smoothly and allowing them to take better care of their patients. MPS is a subsidiary of the Chattanooga-Hamilton Medical Society which is physician owned and driven. We can put your resume in the hands of hiring managers very quickly and effectively. We work really hard to match you to the perfect position and specialty that you desire. We have full and part-time positions available.Company DescriptionMPS is a specialized personnel agency focused on serving the physicians of our community by providing the most qualified candidates for their practices, making their practices run more smoothly and allowing them to take better care of their patients. MPS is a subsidiary of the Chattanooga-Hamilton Medical Society which is physician owned and driven. We can put your resume in the hands of hiring managers very quickly and effectively. We work really hard to match you to the perfect position and specialty that you desire. We have full and part-time positions available.