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A/R Representative

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Indiana (USA), Kentucky (USA), United States

Offer summary

Qualifications:

High School / GED required, 3+ years of ambulatory/provider billing preferred, 1+ years EPIC practice management experience preferred, Knowledge of payor policies required.

Key responsabilities:

Manage and prioritize claim edit work queues
Follow up on unpaid claims and initiate refunds

Baptist Health System KY & IN XLarge https://www.baptisthealth.com/

10001 Employees

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Job description

Job Description:

Baptist Health Medical Group is looking for an A/R Representative to join our team. This is a remote position that requires residency in KY or IN

Under the direction of the Medical Group’s CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related
projects, cash posting and payer underpayment resolution, customer service, and/or administrative functions.

Essential Duties:

Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.
Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
Maintains working knowledge of payor policies applicable to assigned work group.
Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
Works Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
Works with all other revenue cycle departments and practices to resolve any outstanding encounters
Maintain productivity and quality standards as set by CBO leadership.
Maintains an acceptable average “Quality Review” score as set by CBO quality and productivity policy.
Maintains an acceptable productivity average of 90% or greater.
Maintains working knowledge of payor policies applicable to assigned work group.
Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.

Minimum Education, Experience, Training and Licensures Required

High School / GED
3+ years of Ambulatory/provider billing in a multi-specialty practice preferred; 1+ years EPIC practice management experience preferred

Monday-Friday, 1st shift