AR Follow Up Specialist - EngageMED

JOB SUMMARY:Under the direction of the Billing Office Manager, the AR Follow-Up Manager is a non-exempt position responsible for the proper and timely processing of claims and payments to providers.Supervisory Responsibilities:NoneSafety Sensitive Role:YesDuties/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.Required Skills/Abilities:Working knowledge of CPT and ICD10Knowledge 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.Teamwork Orientation: works cooperatively & collaboratively with others toward the accomplishment of shared goals.Service Orientation: desire to serve and focus one's efforts on discovering and meeting the needs of internal and external customers.Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.Learning and Growth: has a commitment to continuous professional and organizational learning.Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.Good computer skills using a medical management application.Possess a strong work ethic and a high level of professionalism.Education and Experience:High school diploma or equivalent required.Some college preferred but not required.Minimum 2 - 3 years of healthcare experience.Physical Requirements:Prolonged periods of sitting at a desk and working on a computer.Requires good dexterity and range of motion.Must be able to lift up to 50 pounds at times.DisclaimersThis job description reflects EngageMED’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons. #J-18808-Ljbffr EngageMED, Inc.