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Ambulatory Follow Up Representative

3 months ago

Lewisville, United States Medix Full time
Location: Lewisville, TX (Hybrid - Onsite Wednesday and Thursday)

Duration: 6 months (Potential for conversion after assignment)

Overview: We are seeking a skilled Medical Billing Specialist to join our team. The ideal candidate will have extensive experience with EMR/Billing systems, provider billing in a hospital setting, and strong technology skills. This role requires a detail-oriented individual capable of managing claim statuses, resolving rejections or denials, and collaborating with internal teams to ensure compliance with payer requirements.

Key Responsibilities:
  • Utilize GMPS system daily (antiquated system).
  • Handle provider billing in a hospital setting.
  • Monitor and track claim statuses, promptly identifying and resolving rejections or denials.
  • Conduct regular follow-ups with insurance companies to check on claim statuses and resolve outstanding issues.
  • Review and appeal denied claims, adhering to deadlines and requirements.
  • Maintain updated knowledge of insurance regulations, billing guidelines, and coding updates.
  • Collaborate with internal teams to address billing discrepancies and ensure compliance with payer requirements.
  • Generate and analyze reports related to billing and collections, identifying trends and areas for improvement.
Hybrid Work Arrangement:
  • Strong preference for onsite work two days weekly at our Lewisville, TX service center (Wednesday and Thursday).
  • If performance expectations are not met, onsite attendance will be required until metrics are achieved (duration may vary).
Schedule: Mon-Fri 8am-4:30pm

Must Have Skills/Qualifications:
  • 2+ years of experience in professional medical billing and insurance follow-up.
  • Proficiency in medical billing software and electronic health record (EHR) systems.
  • Knowledge of insurance claim submission processes and familiarity with various payer guidelines.
  • Excellent communication skills to interact with insurance companies and internal stakeholders effectively.