Medical Collections / AR Representative

Description

 

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms. 

Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting-edge technology helps us deliver superior, cost-effective services to our clients across the globe.

Benefits:

• Health insurance.
• Dental insurance.
• Vision insurance.
• Employer paid life insurance.
• Employer paid short-term and long-term disability.
• Voluntary additional life insurance.
• Employee Assistance Program.
• 48 hours of sick time after three months.
• 80 hours of vacation time after six months.
• $400 referral bonuses.

Full-time, Remote, $21.50 hourly. 

Duties include but are not limited to:

• Coordinates the resolution of incidents and pended open incidents, initiation of appeals, including the verification of demographic and insurance information, when needed.
• Reviews and monitors the reimbursements due from different insurance companies and determines appropriate collection methods and account follow-up according to the federal and state compliance guidelines.
• Pursues insurance carriers by placing phone calls, documenting all work performed, and pending incidents to clients, to ensure payments are received as promised by insurance carriers.
• Works the outstanding accounts on a daily basis to ensure payment of open incidents.
• Reviews the Explanation of Benefits received from the insurance companies and taking appropriate action, including appealing all claims that are denied or underpaid, request for adjustments from clients.
• Advises the supervisor of any trends insurance denials in order to identify problems with particular payers. This individual responds to inquiries from account managers and insurance carriers.

Requirements

 

• Previous medical billing experience, with multiple specialty experience preferred.
• Extensive experience with CPT codes, Modifiers and DX codes is a MUST
• Experience with Payer guidelines, physician billing, appeals & denials.
• Previous experience with private, government, and workers’ compensation insurance companies a plus.
• Strong verbal, written, organizational, and interpersonal skills.  
• Ability to organize and prioritize workload to manage multiple tasks, and to meet deadlines.
• Ability to change tasks as needed for urgent issues.
• Ability to work with individuals at all organizational levels.