SC Works Jobs

Job Information

MedTrust Medical Transport AR Follow-Up Representative in Charleston Hanahan, South Carolina

Job Description Prepared/Revised Date, (Mo./Yr.): _6/2018_

Job Title: AR Follow-up Representative Reports To (Title): Supervisor of AR

Job Code: Job Grade:

Department: Billing Location: Charleston

FLSA Code: Non-Exempt Supervisory Responsibilities: No


Job Summary

The AR Follow-up Representative is responsible for the follow-up on all insurance claims; including, resolving unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining required quality and productivity standards.

Essential Duties/Responsibilities

  • Review, modify, and re-bill rejected/denied claims by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix

  • Process Accounts Receivable items in queues within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).

  • Recode private pay, commercial insurance and HMO claims, assign proper condition codes/ICD-10 codes/procedure codes into the billing system and re-file claims as necessary.

  • Create narrative in the billing system to document status of trip for use in claim appeal process

  • Ensure that charges are billable to the appropriate payor, based on the payor’s criteria, as needed

  • Resolve payment issues with carriers, (e.g. denials, partial payments, etc.)

  • Appeal claims as necessary

  • Process incoming correspondence, including signature letters, denials and additional information necessary to release the claim

  • Forward credit card payments to Cash Posting as required

  • Review the Level of Service to be billed, including but not limited to, designating Advanced Life Support (ALS), Basic Life Support (BLS), Wheelchair, or Specialty Care Transport (SCT)/Critical Care Transport (CCT)

  • Understanding of payor regulations and compliance with all local, state and federal regulations

  • Knowledge and compliance with HIPAA

  • Other duties as assigned

Experience

  • High School Diploma or equivalent

  • One year of follow-up experience in the healthcare industry, ambulance preferred

  • Must be computer literate

  • Skilled in data entry

  • Ability to type a minimum of 45 wpm

  • Knowledge of medical terminology

  • Excellent interpersonal and customer service skills

  • Ability to communicate, both orally and in writing, in a professional manner when dealing with employees and management

  • Ability to work independently of direct supervision

  • Ability to meet deadlines working within tight time

  • Prioritize and handle multiple task

  • Handle a large volume of work and/or phone calls

  • Well organized and detail oriented

  • Display a willingness to work as a team player

  • Ability to handle multiple tasks and to prioritize their importance

Degrees, Licensure, and/or Certification

High School Diploma or equivalent

Ambulance/Medical billing certification or diploma, preferred

Essential Physical Job Functions

Frequent use of computer, fax, printer

Ability to lift 5-10lbs

DirectEmployers