Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medical Billing Accounts Receivable Practice Management Industry Trend Analysis Revenue Management Enrollment Management Invoicing Excel Formulas Medical Practice Management Software

Other Skills

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Quality Assurance
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Non-Verbal Communication
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Time Management
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Teamwork
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Customer Service
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Analytical Thinking
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Detail Oriented
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Computer Keyboards
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Microsoft Office

Roles & Responsibilities

High school diploma or GED required; residency in KY or IN is required.
3+ years of ambulatory/provider billing in a multi-specialty practice.
1-2 years EPIC Practice Management experience.
Proficiency in MS Office (including advanced Excel) and strong keyboarding skills.

Requirements:

Consistently manage and prioritize claim edit work queues to ensure timely, accurate submissions.
Review notes and document actions in the Practice Management System; follow up on unpaid claims and process refunds/adjustments.
Perform account reconciliations and analysis to ensure invoice accuracy; report denial trends to supervisor and collaborate with payers.
Provide customer service to patients and others via written requests, emails, and phones; coordinate with other revenue cycle departments to resolve encounters.

Baptist Health System KY & IN

About Baptist Health System KY & IN

Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of nine hospitals, employed and independent physicians, and more than 400 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky in a joint venture with Deaconess Health System based in Evansville, Indiana. Baptist Health employs more than 23,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has nearly 1,500 providers, including more than 750 physicians and more than 740 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians. Learn more at BaptistHealth.com.

Company type: XLarge

Founded: 2018

Company size: 10001

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Job description

Summary

40 hour flex schedule, first shift, work from home

Job Description:

Baptist Health Medical Group is looking for an A/R Rep to join their team. This is a remote work 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 graduate or GED certificate required; Associate degree preferred
3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred
1-2 years EPIC Practice Management experience preferred
Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions)
High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications)
Advanced keyboarding skills

Work Experience

Education