Ar/customer Service Rep

1 week ago


Milwaukee, United States BAHAMA Consulting Corporation Full time

**TITLE**: AR/Customer Service Rep

**LOCATION**:Milwaukee, WI

**SCHEDULE**: Days 7:30am-4:00pm

**PAY**: $18.00 - $25.00/ hour
- This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position._

**FLSA STATUS**:Non-Exempt

**SUMMARY**: Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines.

**RESPONSIBILITIES**:

- Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate.
- Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to correct system.
- Inputs patient, insurance, and claim information into billing systems.
- Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed.
- Responsible for claims follow-up.
- Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and/or refund requests to resolution.
- Professionally answers incoming phone calls (i.e. patients, clients, payers) providing accurate information regarding outstanding bill/invoice/claim or other reason for inquiry.
- Takes patient/client payments over the phone where applicable.
- Communicates to customers if additional information or research time is required and follows up within an acceptable timeframe.
- Has working knowledge of daily and payment reconciliation process.
- Batches incoming mail and handles patient/client/payer correspondence.

**EDUCATION & EXPERIENCE**:

- High School Diploma
- 4+ years’ experience in insurance billing
- Working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred.
- Working knowledge of Epic desirable.

**Benefits: Medical, Dental, Vision, HSA, Employee Assistance Program (EAP), STD, LTD, Life and 401(K)**

Days 7:30am-4:00pm



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