AR Follow Up Representative w/Profee Medicare Experience

3 weeks ago


Atlanta, Georgia, United States Yasmesoft INC Full time
Job Title: AR Follow Up Representative w/Profee Medicare Experience

We are seeking a highly skilled AR Follow Up Representative with Profee Medicare experience to join our team at Yasmesoft INC. As a key member of our accounts receivable team, you will be responsible for collections, account follow up, billing, and allowance posting for the accounts assigned to you.

Key Responsibilities:

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax, or websites
  • Meet and maintain daily productivity/quality standards established in departmental policies
  • Meet and maintain quality standards established in departmental policies
  • Use the MPower workflow system, client host system, and other tools available to collect payments and resolve accounts
  • Adhere to the policies and procedures established for the client/team
  • Knowledge of timely filing deadlines for each designated payer
  • Initiate appeals when necessary
  • Ability to identify and correct medical billing errors
  • Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
  • Ability to analyze, identify, and resolve issues causing payer payment delays
  • Ability to analyze, identify, and trend claims issues to proactively reduce denials
  • Understanding of under payments and credit balance process
  • Perform special projects and other duties as needed

Requirements:

  • 1 year experience in insurance collections, including submitting and following up on claims for a Medical Practice, Ambulatory Surgical Center, Hospital, and/or other Medical Facility/Medical Billing Company
  • Profee Medicare Experience
  • Physician/Professional Billing: 1 year
  • Knowledge of the denied claims appeals process
  • Knowledge of Worker's Comp and PIP a plus
  • Previous experience in Hospital/Facility or Physician billing
  • Extensive knowledge of individual payor websites, including Navinet and Novitasphere
  • Knowledge of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes
  • Ability to work well individually and in a team environment
  • Proficiency with MS Office. Must have basic Excel skillset
  • Experience with GE Centricity or EPIC PB preferred


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