AR Medical Biller Follow Up Reps (On Site)

TEKsystems•Chesapeake, VA

2d•Onsite

About The Position

TEKsystems is currently hiring for several AR Medical Billers in the Chesapeake, VA Area! This is a Contract to Hire position. The role ensures the submission of timely and clean Inpatient/Outpatient claims to various government/non-government payers and takes the appropriate action to resolve claim issues in order to accelerate cash collections. The position requires working out of EPIC work queues or an 'ATB report' (Aged Trial Balance report) to hit aged accounts more quickly. High dollar accounts are prioritized, organizing the report by age of claims from oldest to newest. Responsibilities include reviewing accounts to determine payment status, working denials, requesting medical records, and reaching out to insurance companies to resolve denied claims. The role also involves updating coordination of benefits with patients and analyzing trends to identify recurring denial reasons. Metrics include working 50+ accounts per day, though this can vary based on account dollar amounts and complexity. The role utilizes EPIC, payer portals, an on-base scanning system, and Excel for ATB feedback.

Requirements

1-3 years of medical AR follow up experience
Medical billing experience
Strong Excel experience
HS Diploma minimum requirement

Nice To Haves

EPIC experience
Hospital billing experience

Responsibilities

Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers.
Resolve Billing errors and/or warnings identified in the Patient Accounting and Billing System.
Keep abreast of payer-specific and government requirements and regulations.
Ensure claim information is complete and accurate to accelerate cash collections.
Analyze information within the Patient Accounting and Billing system to make decisions on how to proceed with billing an account.
Process rejections by correcting billing errors and resubmitting claims.
Place unbillable claims on hold and communicate necessary information to various Hospital departments.
Process late charge claims.
Submit corrected claims when original claim information has changed.
Perform billing for complex scenarios such as interim, self-audit, combined, and split billing.
Review all imported claims to limit the number of unreleased claims by either billing or holding the claim for further review.
Meet Billing productivity and quality requirements.
Record or generate revenue by gathering and processing information that impacts the patient revenue process.
Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met.
Follow up on unprocessed or unpaid claims until a claims resolution is achieved.
Generate letters to insurance or patients as needed to resolve unpaid claim issues.
Work on and maintain spreadsheets by sorting/adding pertinent data.
Analyze information contained within the billing systems to make decisions on how to proceed with the account.
Work independently and make decisions relative to individual work activities.
Identify comments in the billing systems using initials and approved abbreviations.
Keep documentation clear, concise, and to the point, including enough information for a clear understanding of work performed and actions needed.
Create appropriate documentation, correspondence, emails, etc., and ensure they are scanned to the proper account.
Read, understand, and explain benefits from all payers to coworkers, physicians, and patients.
Make phone calls, use the internet, and send mail to payers for follow-up on unprocessed claims, incorrectly processed claims, or claims in question.
Develop relationships with customers/patients/co-workers to gather and process information or resolve issues for accurate reimbursement and optimize customer satisfaction.
Post accurate adjustments as appropriate per billing policies and procedures, payer explanation of benefits, and management directive.
Maintain work procedures pertinent to the job assignment.
Resolve questions regarding correct charging or other concerns regarding services provided.
Complete cross-training as deemed necessary by management.
Report potential or identified problems with systems, payers, and processes to the manager in a timely manner.
Complete special project assignments in a timely fashion.
Follow HIPAA guidelines to maintain strict confidentiality of all patient financial and hospital information.
Perform other duties as assigned.