This site uses cookies. To find out more, see our Cookies Policy

Practice made perfect

Join Our Talent Network

AR Representative in Sunrise, FL at TeamHealth

Date Posted: 12/12/2018

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:

This position is responsible for reviewing and conducting claim status on invoices for all insurance carriers.  Maintains accuracy and production to ensure accounts receivable is being processed effectively.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Conducts claim status using clearinghouses, payer web portals, fax, spreadsheet, and phone processes.
  • Reviews Medicare invoices at 45-60 days to identify potential problem areas for each assigned facility.
  • Reviews Medicaid invoices at 65-80 days to identify potential problem areas for each assigned facility.
  • Reviews Workers’ Compensation for invoices at 60 days to identify potential problem areas for each assigned facility.
  • Reviews commercial, managed care, and BC/BS invoices at 65-80 days.
  • Contacts Medicare, Medicaid, Blue Cross Blue Shield, Managed Care, and Commercial insurances to inquire on unpaid claims.
  • Assembles and forwards appropriate documentation to the A/R Manager for provider related or claim spec issues.
  • Assembles and forwards appropriate documentation to the appeals unit or to the coding unit for dispute.
  • Posts denials and adjustments, and files claims.
  • Works from worklists of assigned AR to ensure timely reviews.
  • Reports any consistent errors identified during review that affect claims from being processed correctly that may include carrier/billing system issues, filing address, eligibility, payment address, etc..
  • Turns to Supervisor or Manager for unusual circumstances that may include adjustments, denials, fee schedules, claims, contracts, etc.
  • Performs any and all duties as directed by supervisor or manager.

Job Requirements

QUALIFICATIONS / EXPERIENCE: 

  • High school diploma or equivalent required;
  • Previous medical billing experience with primary emphasis on collections from Government or Managed Care programs;
  • Good computer skills;
  • Excellent communication skills both oral and written;
  • Ability to meet deadlines and work overtime as needed.

SUPERVISORY RESPONSIBILITIES:

  • None

PHYSICAL / ENVIRONMENTAL DEMANDS: 

This job should be performed in a well-lighted and well-vented environment. Requires constant sitting tolerance.  Extended amount of time spent in front of computer display terminal.

This position may require 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 and/or meet production and quality standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.