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A/r Medical Billing Follow-up Representative

3 months ago

Hanover, United States Maryland Primary Care Physicians Full time

**A/R Medical Billing Follow-Up Representative**

**Job Description**:
Physicians Management Group, which provides all administrative services for Maryland Primary Care Physicians LLC, has an A/R Medical Billing Follow-Up Representative opening. Under the supervision of the Follow-Up and Collections Supervisor, the A/R Medical Billing Follow-Up Representative will be responsible for having a detailed knowledge and experience of following up on insurance claim status, resolving denials and rejections, resubmission of claims, filing appeals, and handling incoming patient calls.
Daily work activities include but are not limited to:

- Responsible for claims denial, verification of insurance, claim status, processing claim appeals, and resubmitting claims as necessary.
- Investigate and resolve outstanding insurance claims within the appropriate time.
- Follow up on denials from insurance carriers and submit appeals when necessary.
- Contact patient when necessary to obtain correct information for the claim processing.
- Check patient information online via the insurance website or phone call and update information appropriately.
- Answer and respond to patient and insurance carrier calls and address their questions and concerns in a professional and timely manner.
- Accurately and concisely document notes in the medical software system per company guidelines.
- Work with individual practice sites to gather additional information to correct a claim when required.
- Monitor claims submissions, insurance payments, and denials to identify trends and possible issues.
- Review incoming insurance and patient correspondence for appropriate action.
- Ensure compliance with rules and regulations for insurance carriers.
- Maintain up-to-date information on various insurance companies and any relevant changes.
- Communicates effectively with staff at all levels of the organization, both inter and intra-departmentally.
- Provide guidance and instruction to fellow team members when necessary.
- Provide information regarding work progress, actions, and issues in a timely and effective manner. Recommend improvements.
- Effectively identify and communicate to the supervisor changes, issues, or when assistance is needed
- Support and backup other areas of the department as needed.
- Perform other duties as assigned.

TRAINING TO TAKE PLACE ON-SITE.

Knowledge, Skills, and Abilities:
Required vaccinations (unless approved medical or religious exceptions): COVID-19, Flu, and MMR

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance

Schedule:

- Monday to Friday

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance

Schedule:

- Monday to Friday

Application Question(s):

- Do you have current knowledge of ICD10 CPT coding and medical insurance claim follow-up?

**Experience**:

- Medical Billing: 1 year (required)

Work Location: In person