AR Follow Up Representative

The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /Medicaid and Government HMO. The incumbent will resolve unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining quality and productivity standards set for the Level 1 A/R Follow-up Representative.

Responsibilities:

• Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim.
• Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
• Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
• Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
• Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary.
• Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
• Other duties as assigned.
• Work in a spirit of teamwork and cooperation.
• Convey a sense of competence and commitment.
• Use initiative to learn new skills, enhance personal knowledge and improve communications.
• Demonstrate an ability to work well with team members.
• Communicate a willingness to help others succeed.
• Share workspace and resources as necessary.