What are the responsibilities and job description for the Billing / Insurance follow-up Specialist position at Charles River Medical Associates?
Description
Insurance follow-up Specialist for our busy billing office in Ashland.
Hours of the position : 40 hours a week, schedule can be either 7-3 : 30 or 7 : 30-4pm
At Charles River Medical Associates , we provide a work culture that is empowering. We encourage our team to be great and give their best each day. Our valued employees are the foundation of our success and are the key to fulfilling our mission. CRMA supports in employee learning and development and strives to promote within.
Job Summary
Reporting to the Team Leader of AR / FOLLOW-UP, the position will be responsible for all insurance follow-up from third-party payers, to be responded to in a courteous, timely manner.
Representatives will process patient accounts to third parties and resolve accounts to a zero balance. Expertise in all third-party billing and contracted payment agreements. The account representative is required to have good writing skills and ensure proper account documentation. Verbal communication required for relaying issues / concerns with problem accounts to supervisor and managers.
Requirements
Job Functions
- Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
- Communicate with third-party representatives as necessary to complete claims processing and / or resolve problem claims.
- Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.
- Maintain accounts receivable detail by use of on-line system documentation.
- Maintains standards per payer for percentage accounts >
90 days.
