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AR Follow-Up Specialist

AR Follow-Up Specialist

Job ID 
2017-1516
Category 
Billing and Coding
Location 
US-OH-Brecksville

More information about this job:

About The Company:

MedData, a MEDNAX (NYSE: MD) company, is a technology-enabled services organization that improves financial outcomes for hospitals by enhancing the patient experience and expanding their access to healthcare. The MedData managed services program includes a range of patient access and communications, revenue cycle management, and consulting and analytics solutions for healthcare systems, including billing, coding, patient balances, eligibility and enrollment, third party liability, and mobile apps.
 
At MedData, we take great pride in our company, in each other, and in our 30+ year history of accomplishments and success. This pride is reflected in our everyday approach to working together. Each team member understands the importance of being part of a company that values their individual contributions and strives to help them achieve their personal goals as they work together to achieve the broader corporate goals. We believe that every team member contributes directly to MedData’s growth and success, and we are constantly searching for new talented, passionate and enthusiastic people who will take pride in being an integral part of our culture.

Job Description:

SUMMARY

The primary responsibility of an A/R Follow Up Specialist is to follow up with insurance carriers on aged, unresolved claims.  This position is also responsible for researching insurance company issues, such as network problems, work comp claims, and a variety of special projects.  This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  1. Following up on unresolved claims.
  2. Make phone calls and use insurance company websites to check on claim status.
  3. Identify why payment has not been received from the payer.
  4. Take appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance.
  5. Follow up on patient balances as assigned.
  6. Other duties as assigned

 

QUALIFICATIONS AND REQUIREMENTS

 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

 

  • Medical billing experience is helpful.
  • Problem solving, research, organization, detail oriented
  • Flexibility to work on competing priorities
  • Able to work independently, identify patterns, make informed decisions
  • Correctly identifying root causes to determine appropriate actions and outcomes
  • 2+ years Office experience in which problem solving and research were major keys to success.
  • Prior computer experience is required.
  • Ability to completely and concisely summarize important details in account notes
  • Excellent verbal communication skills are a must.

 

PHYSICAL DEMANDS:

 

The physical demands described here are representative of those that must be met by an Employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

 

While performing the duties of this job, the Employee is frequently required to sit; use hands to finger, handle, or feel; and reach with hands and arms.  The Employee is occasionally required to stand and walk and must occasionally lift and/or move up to 25 pounds. 

 

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

 

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

 

To join our team of 2,000 employees and growing, please visit apply directly to this posting.


MedData is an equal opportunity employer.