Medical Insurance Account Receivable Representative Onsite

IKS Health Career

  • Coppell, Texas
  • 30+ days ago

    Highlights

    Identify the root cause for Rejections and Denials and escalate to appropriate team to take action · Identify the Responsible Payer Accurately and Bill / Appeal Claims. Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool.

    Numbers & Facts

    LocationCoppell, Texas
    Websitehttp://www.ikshealth.com

    Description

    Key Responsibilities 

    Adhere to Billing Guidelines and Policies 

    Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp 

    Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level 

    Identify the root cause for Rejections and Denials and escalate to appropriate team to take action · Identify the Responsible Payer Accurately and Bill / Appeal Claims 

    Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool 

    Communicate with clinic personnel and insurance to resolve the claim in a timely manner · Perform Ad-hoc Tasks assigned as Special Projects 

    Qualifications 

     3-4 years experience in AR role/s

     Strong Interpersonal, Oral and Written Communication skills

     Ability to manage multiple and simultaneous responsibilities

     Ability to prioritize the tasks and manage accounts receivables gets assigned

     Should be Resourceful and Flexible team player who excels at building trust relationships with  the customer operations

     Working knowledge of HCPCs codes 

     Proficiency in computer skills including MS-Office and Google Suite

     Proficient in EPIC Billing System and any experience in Workflow Tools is an added advantage

     Proficiency with basic math and accounting skills

     Analytical Skills in identifying Trends impacting collections and AR

     Experience in working Medicare and Medicaid claims

     Experience in hospital claims follow-up

     Experience in ASC claims follow-up

     Familiarity with DDE systems 

    Compensation and Benefits:

    The confirmed base pay range for this position is $20-22/hour. Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package, including healthcare, 401k, and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. 

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