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Medical Accounts Receivable Representative

Company: Focus of Georgia, Inc.
Location: Atlanta
Posted on: November 22, 2021

Job Description:

A medical business office near Perimeter Mall needs an experienced-- AR Specialist for an onsite position.

Schedule: Monday-Friday, 8: 00-4: 30.--

Pay Rate: $20 per hour

Job Duties:

  • Reading and interpreting insurance EOB and COB.
  • Check insurance payments for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensure claim information is complete and accurate.
  • Submit clean insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
  • Follow up with insurance company on unpaid or rejected claims. Resolve issue and re-submit claims.
  • Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
  • Post insurance and patient payments using medical claim billing software.
  • For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer. Respond to inquiries from insurance companies, patients and providers.
  • Follows HIPAA guidelines in handling patient information.
  • Verify patient benefits eligibility and coverage.
  • Assist the Customer Service team in taking patient phone calls.
    Qualifications:
    • Experience with EPIC-- or Eclinical-- preferred
    • Knowledge of insurance guidelines for different states including Medicare, state Medicaid and workers comp.
    • Ability to look up ICD diagnosis and CPT treatment codes from online service or using traditional coding references.
    • Excellent communication, time management, organizational skills, and be comfortable communicating via phone.
    • Demonstrated ability to be flexible, work collaboratively among internal and external departments, as applicable to identify and help resolve -- enterprise-wide challenges
    • Demonstrated ability to accurately type 30 wpm
    • Demonstrated service and success in teamwork and consistent high productivity and quality
    • Requires minimum of 3-- years experience in medical accounts receivables and revenue cycle.

Keywords: Focus of Georgia, Inc., Atlanta , Medical Accounts Receivable Representative, Healthcare , Atlanta, Georgia

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