Medical A/R Specialist
3 weeks ago
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Manage all claims over 60-days on the A/R reports in a timely manner
- Work assigned denials and correspondence
- Utilize clearinghouse and insurance portals for claim status
- Report all trends detected in A/R management
- Prepare corrected claims and appeals, as needed
- Process inbound and outbound calls as needed to insurance carriers
- Follow all state and federal collections and HIPAA laws
- Other job-related duties asassigned
KNOWLEDGE ANDEXPERIENCE REQUIRED
- HS Diploma/GED
- Medical A/R experience required/EMS billing preferred
- Maintain certifications applicable to job functions
- Computer literate with ability to type a minimum of 40 WPM
- Ability to communicate effectively and in a professional manner
- Detail Oriented
- Knowledge of managed care plans, insurance, medical terminology
- Knowledge of reimbursement fee schedules (Medicare and Medicaid)
- Knowledge of refund processes and requirements
- Ability to establish/maintain cooperative working relationships with staff
- Ability to prioritize and multi-task
KNOWLEDGE AND EXPERIENCE PREFERRED
Experience in Medicare A/R, commercial insurances, appeals,correspondence, and denials is a plus.
Emergicon requires satisfactory pre-employment background check and drug screen.
EMERGICON LLC is an EEO employer - M/F/Vets/Disabled
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