MEDICAL A/R BILLING SPECIALIST - PRIMARY CARE & URGENT CARE CENTERS
Dear Candidates,
The main role of the billing person will be to join our team of billers in Florida and our team in Pakistan.
The main ROLE of the individual will be to:
MAKE PHONE CALLS, AND EMAILS TO ALL INSURANCE COMPANIES FOR FOLLOW UP ON BILLS SENT OUT, AND UPDATE STATUS OF PAYMENTS.
THE CANDIDATE MUST SPEAK ENGLISH FLUENTLY, AND BE ABLE TO COMMUNICATE IN A FAST PACED ENVIRONMENT.
WE WILL SET UP AN APP ON THE INDIVIDUALS COMPUTER TO MAKE AND RECEIVE PHONE CALLS.
HOURS WILL BE MONDAY TO FRIDAY 8AM TO 5PM (US FLORIDA TIME).
THE PAY WILL BE BETWEEN $500 TO $700 MONTHLY ( BASED UPON EXPERIENCE) WITH AN EVALUATION AFTER 90 DAYS.
ABOUT OUR PRACTICE: Located in Florida, we are seeking a dynamic, dedicated Accounts Receivable (AR) Medical Insurance & Patient Follow-Up Representative for our URGENT CARE & PRIMARY CARE CENTERS. J
WHO WE SEEK - THE IDEAL CANDIDATE: This position is an excellent opportunity for an A/R wizard to take this practice to the next level. The ideal candidate will have previous experience working in a multi-physician private group practice. We also seek candidates with stable work history and a proven track-record of being part of strong, effective teams.
The optimal candidate for Medical Billing & Accounts Receivable Representative would preferentially have some exposure to or experience within PRIMARY CARE & URGENT CARE CENTERS. Coding, collections, and revenue cycle experience strongly preferred.
The most desirable attributes we seek are candidates looking for a long term career, demonstrate consistent reliability and follow-through, are comfortable communicating information concisely and as needed to superiors whether or not the information is good or bad. We seek somebody who is not afraid to ask questions (even repeatedly), who desires and enjoys learning new operations / systems / processes, and who will not hesitate to convey that they aren't sure about something or are not fully comfortable doing a particular task until the candidate explicitly states that he or she is 100% confident and comfortable in undertaking the responsibility.
The ideal candidate will also be comfortable answering phones, speaking with patients and answering their billing questions, as well as partnering with coworkers on various billing-related projects if and as they arise. This person will also embody the characteristics of accountability, professionalism, focus, and be a naturally self-motivated individual that takes pride in accomplishing goals and in helping others.
WHO WE DO NOT SEEK - CANDIDATES WHO NEED *NOT* APPLY: someone with 0 work experience in the medical field, anyone who finds the commute unreasonable, anybody looking to simply clock-in, clock-out and collect a paycheck without any genuine care or pride in the quality of their work output. Individuals who are unwilling to utilize incredibly helpful reports/tools that will enable them to excel in this job role with great ease. To most effectively and efficiently work AR, it is indescribably valuable to do so after forming a particular game-plan/strategy based on analyzing a few simple reports. In other words, we seek a candidate that is a naturally thoughtful, curious, and inquisitive person with critical thinking skills and problem-solving abilities. If you simply wish to punch a clock and do mindless repetitive data entry (or any redundant task) that does require thoughtful, concentrated and strategic effort, this opportunity likely is not a good fit for you.
WHICH TYPE OF CANDIDATE ARE YOU?: If you are willing to learn any part of the job responsibilities that you do not already know, we are more than happy to consider your application and provide hands-on training for you regarding those particular duties. That said, please do keep in mind, though, that applicants must have a bare minimum of 2+ years relevant experience.
If you have transferrable skills or relevant experience and you are a driven, hard-working professional seeking a stable long term fit with room for growth, this may be the right place for you. What matters above all else is that we are seeking someone who will genuinely care about both his or her work performance, as well as the overall wellbeing and performance of the organization.
If this opportunity sounds like it might be the right one for you, please apply today! ACG will review each cover letter and resume for individuals that meet the job’s minimum requirements, and every candidate who meets these requirements will receive consideration.
WHY WORK HERE: Be a part of something that matters. Something that affects every single person, every single day—people’s health and the care they receive. Exciting opportunity for experienced, motivated, and enthusiastic professional seeking meaningful work to join dynamic, award-winning GI practice in Atlanta, GA in the role of Accounts Receivable / A/R / Medical Insurance & Patient Collections Follow Up Representative.
JOB SUMMARY: You will take all of the data provided on a patient and use it to submit claims electronically for reimbursement and collect payment for the services provided. Responsibilities include, but not limited to, registering the patient and verifying insurance coverage, collecting the information required to create a claim, knowledge of CPT and ICD-10 coding systems, working directly with the insurance company, healthcare provider, and patient to get a claim processed electronically and paid, knowledge of CMS-1500 & UB-04 billing forms, reviewing and appealing unpaid and denied claims, posting payments and contractual adjustments to patient's accounts, knowledge of third party and CMS Fee schedules, handling collections on unpaid accounts, managing the Accounts Receivable reports, answering patients' billing questions.
DUTIES MAY ALSO INCLUDE BUT ARE NOT LIMITED TO:

• Day-to-day billing operations
• Charge posting
• Posting payments
• Being knowledgeable of and adhering to all legal and regulatory requirements concerning appropriate billing
• Insurance claim follow-up
• Contacting patients about outstanding balances
• Front desk coverage
• Determining best avenues for claim submission
• Appealing denied claims
• Insurance verification
• Obtaining prior approval/authorization for 2 infusion medications administered on site
• Maintaining allowed fee schedules
• Patient check-in and check-out
• Documenting interaction with payers
• Posting payments
• Medical billing & medical coding
• Retrieving electronic fund transfer admittance advices
• Problem solving and addressing issues raised by physicians, employees, and patients, proactively identifying process improvements and system enhancements, engaging in special projects in addition to routine responsibilities
• Posting charges daily from the surgical center and from the physicians
• Retrieving and processing EFTs from government and commercial payers
• Processing paper checks for bank deposits
• Providing the highest quality customer care to patients inquiring about their statements
• Transmitting claims through a clearinghouse while maintaining low rejection rate
• Providing balanced daily transactions Excel spreadsheets

MINIMUM QUALIFICATIONS: 2+ years experience in a medical practice environment.
Working knowledge of:

• Requirements of commercial and government insurance plans
• HMO, POS and PPO plans
• Basic math and medical practice accounting
• HIPAA regulations
• Office equipment (i.e. copy machine, fax machine, computers)
• Organization policies, procedures, systems, and objectives.
• Legal and regulatory requirements
• Insurance billing, revenue management, and collections
• Basic computer skills, including proficient use of the Microsoft Office Suite of products
• A/R management
• Deductibles and co-pays
• CPT and ICD coding as applied in physician practices for billing and clinical purposes
• Medical billing procedures and medical insurance

PREFERRED EXPERIENCE

• Experience in or exposure to the field of PRIMARY CARE & URGENT CARE CENTERS.
• Strong financial background with previous experience in physician office billing, coding, and revenue cycle management.
• PRACTICE FUSION experience.
• Account Payable (A/P) and Accounts Receivable (A/R).
• Personnel management and payroll systems.
• Knowledge of compliance, workplace safety/OSHA, HIPAA and other regulatory issues.
• Excellent interpersonal and communication skills.
• Strong attention to detail, impeccable organizational skills and high work ethic.
• Fiscal management and human resource management techniques.
• Accounting systems, budgeting, insurance billing, revenue management, and collections.
• Medical billing procedures and medical insurance.
• Managed-care contracting requirements.
• Insurance.
• Regulatory Compliance and Service Standards.
• CPT and ICD coding as applied in physician practices for billing and clinical purposes, including ICD10.
• Basic computer skills, including proficient use of the Microsoft Office Suite of products.
• Interfacing with vendors, accountants, and other professionals that supply service to the company.
• Proven track record in growing physician practice revenues and volumes.
• Medical billing.

Job Type: Full-time
Pay: Rs140,000.00 - Rs190,000.00 per month
Ability to commute/relocate:

• Lahore: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• How many years of Primary Care experience do you have?
• How many years of Urgent Care experience do you have?
• Do you have experience with HEDIS and MRA measures?
• How many years of billing experience do you have?
• Have you used PRACTICE FUSION Software Previously?
• Have many years experience do you have on Practice Fusion Software?
• Have you billed for PRIMARY CARE OR URGENT CARE insurance before?

Education:

• Bachelor's (Preferred)

Experience:

• Billing: 5 years (Preferred)

Language:

• ENGLISH (Required)