Insurance Follow-up Rep (Epic Resolute PB)

Overview:

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks accomplished Insurance Follow-up Representative.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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*** Location: Emeryville, CA 94608

*** Duration: 26 weeks contract w/ possibility of extension

Notes:

• Hybrid role: onsite at least 3 days/week for training, then onsite once a month.
• Work Hours: 40 hours per week; Mon – Fri; 7:00am – 3:30pm PT.

Description:

• The Follow-Up Representatives are responsible for billing and follow-up of government, commercial, contract and/or managed care accounts receivable for clients.
• The incumbent demonstrates the ability to perform all aspects of billing and follow-up with quality.
• The incumbent’s main task is to resolve all outstanding insurance accounts through constant communication with the payers (by phone or via web access), other units, clinical departments, and billing agents.
• When resolving the accounts receivable, the Follow-Up Representative must adhere to the SRG (Situation Response Guide) to ensure consistency with the follow-up and documentation processes and to maintain good quality work.
• The Follow-up Representative must meet minimum productivity standards and quality expectations of their units.
• The Follow-up Representative must attend and be engaged in unit and team meetings aimed at increasing knowledge.
• The incumbent will utilize web-based tools, including payor websites and the RMS website prior to calling payors.
• The incumbent will conform to all government and HIPAA policies and procedures.

Qualifications:

• This position requires flexibility to orient and work at all company Medical Center locations.
• At least 1 year of previous Insurance Follow up experience.
• Demonstrate the ability to communicate effectively (orally and written).
• Knowledge of CPT and ICD-10.
• Experience with denials management.
• Epic Resolute Professional Billing experience.
• Experience in medical billing, with a preference for Professional Fee (ProFee) billing.
• Familiarity with payer websites and payer provider services.
• Experience with Government Professional Fee (ProFee) billing.
• Experience with MS Excel and Outlook.
• Effective time management and ability to meet deadlines
• Ability to work independently or as needed with a team.
• Ability to meet productivity and quality standards.
• Demonstrates positive attitude and excellent customer service skills.
• Proven ability to coach and mentor staff for optimal results
• Ability to set priorities, goals, and objectives.
• Demonstrate the ability to perform all aspects of billing and follow-up with superior quality.
• Excellent attendance record.

Preferred Qualifications:

• Insurance claims follow-up experience/ Denial management experience (preferred)
• Knowledge of Medi-Cal managed care processes (preferred).
• Certified Procedural Coder (CPC).

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I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Satwinder “Sat” Singh

Lead Technical Recruiter

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally; as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state, and federal laws.