AR Follow Up Specialist - EngageMED - On-Site

EngageMED Inc • North Little Rock, AR

2d • Onsite

About The Position

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

Requirements

• High school diploma. Some college preferred but not required.
• 2 to 3 years health care experience
• Working knowledge of CPT and ICD10
• Knowledge of health care insurance claim practices and compliance.
• Knowledge of computer systems, programs, and applications.
• Knowledge of medical terminology.
• Skill in researching and reporting claim information.
• Skill in trouble-shooting claim insurance problems.
• Skill in written and verbal communication and customer relations.
• 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.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees