Medix's Texas-based client is looking for an Experienced Medical AR Recovery Specialist! Apply if qualified and interested! - Contract to hire opportunity (6 months)
Title: AR Recovery Specialist Duration: Contract to hire - 800 hrs (5-6 months) before converting to full time employee status
Location: REMOTE
Pay: $19-$21.50/hr
Schedule: M-F 8 to 5 CST; 40 hours guaranteed
Overview - Analyze insurance reimbursement receipts.
- Perform follow-up actions with insurance companies to ensure timely and full payment.
- Ability to recognize correct denials and make the appropriate adjustment in PM system as needed.
- Ability to recognize correct recoupments and make the appropriate adjustment in PM system as needed.
- Ability to recognize incorrect recoupments and appeal the decision per correct carrier guidelines.
- Utilize account information to assist in write-offs for inclusive CPTs by payor.
- Update job knowledge by participating in educational opportunities.
- Serve and protect sensitive information by adhering to professional standards, company policies and procedures, federal, state, and local requirements and standards.
- Learn, maintain and apply multiple recovery methodologies respective to carrier specific medical policies, denials and appeal processes.
- Trend, classify, resolve and communicate issues in the AR to optimize your individual productivity but to also resolve front end issues that improve the health of the account(s) you are assigned.
- Manage both quality and quantity on a consistent basis, continually seeking to outperform yourself and grow your professional knowledge in the process.
- Ability to identify and appropriately escalate issues on any patient account being reviewed and resolve the concerns properly and efficiently
- Ability to multitask, moving from primary to secondary tasks while maintaining target and deadline driven goals.
- Ability to utilize multiple resources in identifying denials and the appropriate approach in seeking resolution and reimbursement including but not limited to: Medical policy bulletins, LCD's, NLCD's, CCI edits, Carrier Sites, Remittance/Remark codes, EOBs, Correspondence, AASO GSD, account alerts.
Skills & Qualifications:
- Orthopedic AR Experience preferred
- At least 2 years of medical billing experience.
- At least 2 years of previous experience in an AR Recovery driven role.
- Knowledge of Practice Management and Electronic Medical Record systems such as Centricity, Phoenix Ortho, NextGen, E-ClinicalWorks, Allscripts, Athena - preferred.
- Understanding of Anatomy and medical terminology.
- Understanding of CPT codes, HCPCs codes, ICD-10 codes.
- Understanding of ERA EOB remittances and insurance carrier coordination of benefits and processing - preferred.
- Working knowledge of programs such as, Outlook, Excel, and Word etc.
- Working Knowledge of: Medical policy bulletins, LCD's, NLCD's, CCI edits, Carrier Sites, Remittance/Remark codes, EOBs, Correspondence, AASO GSD, account alerts.
- High school diploma or equivalent
Selling Points
- Growing company
- Remote work
- Looking for people who will be a good long-term fit for their culture.
Dress Code How do you apply? Click "Apply" OR or email your resume!
Medix - Anticipating Needs. Exceeding Expectations. Please apply online if qualified and interested! Medix is acting as an Employment Business in relation to this vacancy.