What are the responsibilities and job description for the AR Specialist Profee Follow Up Biller - REMOTE position at Quadris Team LLC?
Job Description
Job Description
Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Physician AR Specialist Team Team to fill the role of Accounts Receivable Specialist with an emphasis on initial billing. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com
We are looking for high performing, passionate and results driven team members to join our group.
The ideal candidate will reside in Pacific Standard or Mountain Standard time zones
Job FOCUS :
This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and / or grievance preparation of assigned Client EMR Accounts Receivable. The responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. Partners with other team members and health plans to facilitate the appropriate and prompt payment of claims. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner.
Primary / Essential Expectations For Success :
The Primary responsibilities and essential job duties effectively and efficiently performed include but are not limited to the following :
BILLING
- Reviews and / or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer
- Calculates Tier, Outlier, DRG and / or other Fee Schedule based reimbursement
- Submits electronic and / or hard copy claims with any attachments as per the contract timely filing criteria
- Documents all account activity in the hospital system and The Q with clear and concise notes
INSURANCE FOLLOW-UP
POST PAYMENT REVIEW
Physical / Mental Demands, Environment :
Skills Needed to Be Successful :
Core Talent Essentials :
Certifications :
Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.
