AR Follow Up Representative

Company: Integra Connect
Location: San Diego
Posted on: January 16, 2022

Job Description:

The AR Follow-up Representativeis responsible for the follow-up on all private pay and commercial insurance claims. This role entails the resolution of unpaid accounts in a timely and efficient manner for multiple geographical areas.
Responsibilities

• Review, modify as necessary, and re-bill rejected/denied claims in queue by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
• Process queues within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
• Recode private pay, commercial insurance and HMO claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
• Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary.
• Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
• Ensure that charges are billable to a particular commercial payor, based on the payors criteria, as needed; Resolve payment issues with carriers.
• Resolve payment issues with carriers, (e.g. denials, partial payments, etc).
• Appeal claims as necessary.
  Qualifications
  • High School Diploma or GED required; Associates Degree or certificate of completion from a coding and billing school preferred
  • Must pass new-hire and department-specific testing.
  • Minimum one (1) year previous medical billing experience required, ambulance billing experience preferred.
  • Knowledge of Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet.
  • Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines).
  • Understanding of Government coverage guidelines, filing limits and necessary prior authorizations; knowledge of Payor-specific requirements for one or more geographical areas and/or financial classes.
  • Able to make Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.
  • Knowledge of ICD-9 coding/condition codes and procedure cod.
    BenefitsIntegra Connect, LLC provides a comprehensive benefits plan.
    • Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
    • Paid Time Off
    • 401k with employer match
    • Paid Holidays and Floating HolidayEqual Opportunity Employerby Jobble

Keywords: Integra Connect, San Diego , AR Follow Up Representative, Other , San Diego, California