AR Follow Up Specialist

4 weeks ago

Reynoldsburg, United States Ohio Gastroenterology Group Full time

Duties and ResponsibilitiesPrimary Job Functions:Monitors unresolved account balances according to the Aged Receivables and assigned tasksValidates third-party payer transactions and identifies reasons for delay of payment through the review of EOBs via paper, payer portals, and/or phone calls, determines next steps, and documents actions taken in the billing systemMaintains knowledge of third-party filing requirements and ensures claims are not rejected due to timely filingResolves third-party claim rejections and/or denials in a timely mannerPrepares appeals via appropriate means according to carrier guidelines for all claims that require reconsideration for appropriate or additional paymentMakes necessary claim adjustments and rebills third party payers as neededFile claims to secondary payers with primary EOB's/COB informationCollaborates with the billers and other internal departments to satisfy the requirements for resolving unpaid insurance balancesPosts adjustments, transfer of responsibility, and/or initiates refunds, as necessary.Ensures coding is compliant and up to datePerforms all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays.Ensures payments are made according to third-party contractsReports payer specific issues to Revenue Cycle Supervisor in a timely mannerConveys observations of trends to the Revenue Cycle Supervisor to encourage best practices and mitigate repeat issuesMakes recommendations to the Revenue Cycle Supervisor regarding non-collectable accountsOther duties as assigned.Secondary Job Functions:Opening, sorting, delivering and scanning incoming correspondenceProcesses all Returned Mail including skip tracing and contacting various resources for informationAssists with data entryAttend meetings and training sessionsMaintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulationsMaintain knowledge and adhere to related governmental regulations and all policies set forth by Ohio Gastroenterology Group Inc and its related partiesKnowledge, Skills and AbilitiesKnowledge of third-party payers and prior-authorization requirementsUnderstanding of basic medical terminology and proceduresProficient use of office equipment, such as copier and fax machine, phones, etc.Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems.High attention to detail and the ability to multi-task.Strong time management skillsAbility to work independently with minimal supervision and to manage multiple priorities.Strong written and verbal communication skillsAbility to effectively communicate with a variety of people under stressful circumstances.Neat appearance, professional demeanor and pleasant voiceFluent in EnglishCredentials and ExperienceMust have high school diploma or equivalentOne (1) year of medical billing and coding, revenue cycle, and/or AR follow-up experienceExperience with eClinicalWorks a plusExperience in GI a plusPhysical DemandsMust be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).Work EnvironmentMinimal medical office exposure that may require contact with adult patientsOffice workstation environment with numerous employeesOhio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes:Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employmentCompany paid life insurance and short term disability Generous paid time off plans (vacation, sick and personal)7 paid holidaysTwo retirements plans:401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions.Cash balance pension plan - company contributes 2.5% and offers full vesting after 3 years of employment.Tuition reimbursement programsEmployee appreciation programsUniform reimbursement programs Growth opportunitiesLearning and development training Apply now to join a great company

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