Medi Sys Management, LLC/FRR Recovery, Inc offers a robust benefits package, which is designed to help you and your dependents stay healthy, feel secure and maintain a work/life balance. This is just one way we strive to provide employees with a rewarding workplace. As an effort to keep pace with healthcare trends Medi Sys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.
Summary of Responsibilities:
Perform Follow-up activities on billed accounts, ensure contracted payment rates are received. Responsible for timely and quality follow-up activity on assigned accounts. Willing to train.
Essential Duties and Responsibilities:

• Assure Third Party Knowledge Base of Payer Regulations through Educational Sessions, Self Educational activities and payer documentation.
• Knowledge of Medicare/Medicaid Governmental Benefits & all other Third Party Insurance Billing Rules & Regulations.
• Submit Primary/Secondary Insurance and Follow- Up on same.
• Perform follow-up Third Party Balance Due Accounts
• Contact Third Party Payers via website portals, telephone and /or correspondence thereby assuring of quality and quantity of work in a timely manner to obtain claim status.
• Verify Insurance coverage/benefits and follow-up on billed insurance claims, analyze insurance EOBs/Remittance and ensure payments are in accordance with contracted rates and/or analyze the root cause of denials and submit denial appeals as needed.
• Follow Federal Guidelines for processing MSPQ (Medicare Secondary Payer Questionnaire).
• Communicate with account Guarantor on an as needed basis.
• Clear and concise account notes are rquired to document the follow-up activity taken on each account.
• Timely and quality billing and follow-up activity on assigned accounts and the ability to work an average of 30 - 40 accounts daily.
• Performs all other duties as required and assigned.

Skills:

• Willing to train.
• 1-2 years prior Healthcare/Hospital Accounts Receivable or any appropriate combination is a plus.
• Knowledge of HIPAA.
• Participation in all educational activities, seminars and webinars.
• Computer literate.
• Ability to work independently on assigned task as well as accept directions on given assignments.
• Excellent written and oral communication skills.

Required Education:

• High school diploma or GED

Preferred Education and Experience:

• College Degree
• 1-2 years prior health care experience
• Computer proficiency, Type 35 wpm

Job Type: Full-time
Pay: $23.00 - $28.00 per hour
Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person