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AR Representative - Entry level claim status medical collector in Los Angeles, CA at TeamHealth

Date Posted: 9/4/2019

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

 

JOB DESCRIPTION OVERVIEW:

 

Under direct supervision, the Accounts Receivable Representative is responsible for following up on “No Activity” invoices.  This position enters the status update information into the company billing system, enters denial codes to allocate claims to the appropriate location, and re-bills claims if necessary.  The position works in a cooperative team environment to provide value to customers (internal and external).  The Accounts Receivable Representative carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of TeamHealth and fully supports TeamHealth’s focus on supporting its physicians while following the billing center policies and procedures.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for contacting insurance companies and navigating payer websites and clearinghouse to obtain accurate status information of outstanding claims and inputs accurate information into the computer billing system.
  • Responsible for reviewing the denied claims and allocating them correctly by denial code to the appropriate location.
  • Responsible for re-billing patient claims if necessary.
  • Responsible for all daily productivity reporting requirements.
  • Maintains and exceeds department standards for productivity and quality.
  • Maintains knowledge of internal denial codes.
  • Continually seeks to understand and act upon employer/customer needs, concerns, and priorities. 
  • Meets employer/customer expectations and requirements, and gains employer/customer trust and respect.
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
  • Demonstrates ongoing enthusiasm and commitment to the work assigned.
  • May perform special assignments and other related tasks as assigned.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Approximately one+ years of experience with insurance denials and correspondence processes within a multi-facility environment.
  • High school diploma or equivalent required, some college coursework preferred.
  • Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
  • Knowledge of coordination of benefits requirements and processes.
  • Knowledge of health insurance correspondence denial processing.
  • Knowledge of insurance rejection/denial processing to perform follow up activity.
  • Understanding of physician billing guidelines for commercial and government payers in multiple states.
  • Ability to multi-task, set priorities and follow through without direct supervision.
  • Excellent written and verbal communication and interpersonal skills.
  • Proven analytical skills and ability to work in a structured, fast-paced environment.
  • Proficiency in working with billing systems, GE experience is desirable.
  • Knowledge of Microsoft Excel, Microsoft Outlook, and Microsoft Word.
  • Must be organized, detail oriented, and meticulous with all tasks.

 

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • May require the manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions to comply with the essential functions.
  • Requires the physical and/or mental stamina to meet production and quality standards to comply with the essential functions.
  • May require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week with mandatory overtime as directed by Management.
  • Requires the ability to conform to standards for attendance.
  • Job performed in a well-lighted, modern office setting.
  • Prolonged work on a PC/computer and telephone.
  • Occasional standing/bending.
  • Occasional lifting/carrying.
  • Prolonged sitting.

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