AR Follow Up Specialist - EngageMED - On-Site

Position: AR Follow Up Specialist

Job Summary: A nonexempt position responsible for the proper and timely processing of claims and payments to providers.

Revenue Cycle-9002

Full Time;
Exempt

Billing Office Manager

Supervisory Responsibilities:

None

• Follows up on denied or pended medical claims and answers associated correspondence.
• Resubmits corrected claims to payers and files appeals if necessary.
• Analyzes unpaid claims and determines correct course of action to resolve.
• Communicates payer trends or issues to management.

• Education:
  
  High school diploma. Some college preferred but not required.
• Experience:
  
  2 to 3 years health care experience.
• Working knowledge of CPT and ICD
  10.
• Knowledge of health care insurance claim practices and compliance.
• Knowledge of computer systems, programs, and applications.
• Knowledge of medical terminology.
• Skills:
  • Skill in researching and reporting claim information.
  • Skill in trouble‑shooting claim insurance problems.
  • Skill in written and verbal communication and customer relations.
• Abilities:
  • Ability to work effectively with physicians, other medical staff, and external agencies.
  • Ability to identify and analyze claim problems.

• Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
• Ability to understand, apply and analyze financial data.
• Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
• Detail oriented and organized with the ability to easily identify areas that require improvement.