Company Overview

We need people just like you. At American Medical Response we believe that our team members are our strongest asset. We recognize that our ability to provide superior patient care, great customer service – and to keep our company growing – depends on the continued professional development of our world-class workforce.

Everyday the 18,500 employees of AMR live the promise we make to our patients and customers. We develop caring solutions to serve each community’s unique needs, while maintaining the highest professional standards.

As the nation’s largest private provider of medical transportation services, we offer opportunities for growth and advancement in a variety of career paths. Explore the diverse career opportunities we offer throughout our company, across the country



 
For your privacy and protection, when applying to a job online:
Never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more >>

 

 

Contract Rep - Medical Transportation Billing Services , map it!US-CA-Torrance

Job posted on: 11/6/2009

Job overview

Company:
 American Medical Response
Location:
 map it!US-CA-Torrance
Base Pay:
 N/A
Employee Type:
 Full-Time
Industry:
 Healthcare - Health Services
Managed Care
Insurance
Manages Others:
 No
Job Type:
 Admin - Clerical
Health Care
Insurance
Req'd Education:
 High School
Req'd Experience:
 At least 1 year(s)
Req'd Travel:
 None
Relocation Covered:
 Not Specified
 
Contact:
 Not Available
Phone:
 Not Available
Email:
 Send Email Now
Fax:
 Not Available
Ref ID:
 Contract Rep - TOR

Job Description

Reporting to the Contracts Manager, the Contract Representative will be responsible for following up on all outstanding trips that relate to contacts with hospitals, agencies, health plans, mental health, etc., as well as all capitated and

non-capitated contracts and managed care.

 

Essential duties and responsibilities include the following.  Other duties may be assigned.

 

  • Work aging report on a monthly basis.
  • Meet monthly production requirements.
  • Respond to day-to-day changes in priorities, workload, assignments, and take action to decrease accounts receivable and increase cash collections.
  • Review and interpret contract language to ensure the trips are pricing correctly.
  • Perform research and follow up on all trips over 90 days. 
  • Contact appropriate agent to verify eligibility.
  • Review all assigned contracts queues and takes appropriate action to resolve accounts.
  • Answer incoming facility contract calls as well as patient calls and take the appropriate action.
  • Adhere to all company policies and procedures.
  • Process contract correspondence and denials (facilities, hospitals, health plans, and patients).
  • Provide encounter data for capitated contracts.
  • Participate in meetings with contracted hospitals, facilities, and agencies regarding contract implementation, billing issues, etc.
  • Communicate with prebillers, operation liaisons, operations, business development regarding issues or problems with contracts.
  • Perform special projects and audits of outstanding claims.
  • Research and respond to inter-departmental correspondence (i.e. Business Development), and Unable-To-Locate (UTL) checks. 
  • Perform periodic queries to insure proper billing.
  • Assist with monthly closeout. 
  • Balance Trip Journals and batch billings.
  • Must be able to pass audit with an accuracy rate of 95% or better.
  • Effective information systems security is a team effort involving the participation and support of every AMR employee who deals with information and/or information systems.  It is the responsibility of every computer user to:
  • Know and follow Information Systems security policies and procedures
  • Attend Information Systems security training, when offered
  • Report information systems security problems

 

 

 

Job Requirements

Minimum qualifications:

 

  • High school diploma or GED. 
  • Minimum of one year previous clerical work experience. 
  • General working knowledge of PCs and/or patient accounting computer systems. 
  • Type minimum 45 wpm and ten key by touch. 
  • Must have strong organizational skills.
  • Effective oral, written and interpersonal communication skills. 
  • Able to perform duties within tight time constraints and handle large volumes of work. 
  • Able to work cooperatively in a team atmosphere. 
  • Familiar with current contracts and agreements between American Medical Response and other various facilities and/or familiar with Medicare, Medi-Cal, Kaiser and other 3rd party payer guidelines and protocol are preferred. 
  • Minimum one year prior medical billing experience is also preferred.

 

 

 
Register