Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medical Billing Procedure Codes ICD 503 Medical Record Management Outbound Calls Medical Abbreviations Escalation Procedures Telephony Microsoft Operating Systems Provider Data Management +3 more

Other Skills

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Microsoft Excel
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Microsoft Word
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Non-Verbal Communication
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Multitasking
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Organizational Skills
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Detail Oriented
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Prioritization

Roles & Responsibilities

2-3 years of customer service experience, preferably receivable/collections
Familiarity with medical claims, billing, and payment (CPT/HCPCS, ICD-10)
Knowledge of medical terminology, medical record review, and claim reimbursement
Strong organizational, verbal, and written communication skills; ability to perform appeals/denial analysis; proficiency in Word, Excel, and Windows-based systems

Requirements:

Manage daily workload of outgoing provider billing calls; ensure conversations and information provided via phone calls are documented clearly and accurately.
Promptly answer incoming Recovery Line calls and monitor/respond to voicemails in a timely manner.
Research and update provider records for outdated information in Recovery internal systems; maintain HIPAA compliance and request medical records as needed.
Prioritize urgent calls and utilize escalation processes when necessary; perform additional duties as assigned by supervisor.

AMPS

Insurance

About AMPS

Turn to AMPS for your healthcare cost management services and we will help you achieve meaningful and visible savings for your clients. Here at AMPS we utilize physicians to perform line-by-line audits on all claims we review. This will not only demonstrates an added level of commitment to your clients, it will add a new line of revenue to YOUR company at ZERO expense to you. We use a mix of healthcare industry medical and clinical expertise, along with proprietary software developed to create a wide delta between our competition. We provide healthcare cost containment services to the payer community including self-funded employer groups, Third Party Administrators (TPAs), Health Plans, HMOs, and Insurance Companies.

Company type: SME

Industry: Insurance

Founded: 2018

Company size: 201 - 500

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Job description

Description

Under the direction of the team lead, the Recovery Support Specialist will be responsible for supporting the Retrospective Review Recovery team. Tasks and responsibilities will be performed in a fast-paced office

environment. This role facilitates external contact through written and verbal communication.

You will accomplish this through:

Essential Job Duties:

Manage daily workload of assigned outgoing provider billing calls, ensuring conversations and information provided via phone call are documented clearly and accurately.
Promptly answer incoming Recovery Line calls. Monitor and respond to voicemails in a timely manner.
Research and update provider records for out-of-date provider information in Recovery internal systems
Maintain HIPAA compliance, request medical records as needed.
Ensure urgent calls are managed with priority, and escalation processes are utilized when necessary.
Additional miscellaneous duties and responsibilities may be assigned by your supervisor from time to time.

Requirements

Skills and Abilities:

Familiarity with medical claims, billing, and payment
Knowledge of procedure codes and billing (CPT/HCPCS, ICD-10, etc)
Knowledge of medical terminology, medical record review, and claim reimbursement.
Strong organizational, verbal, and written communication skills
Experience in appeals, denial or rejection analysis
Meticulous with the ability to prioritize and perform multiple tasks across systems.
Proficient in Word, Excel, and Windows-based systems.

Education and Experience:

2-3 years of customer service, preferably receivable/collections experience.

Physical Requirements

Indoor office environment with moderate noise
Travel is required for on-site client visits approximately 10% of the time.
Intermittent physical effort may include lifting up to 25 lbs., walking, stopping, kneeling, crouching, or crawling, which may be required.
Frequent sitting, use of a keyboard, reaching with hands and arms, talking and hearing approximately 70% of the time; 30% or less time is spent standing.
Normal vision abilities required, including close vision and the ability to adjust focus