Follow-up Representative – Job Description – Indeed Updated 5 / 1 / 2024
POSITION: Medical Billing - A/R & Follow-Up Rep, Full-Time (work-from-home)
COMPANY: ClaimCare® is an established 100% USA-based “Top 10 Medical Billing and Coding Company” with competitive salaries, great benefits, and terrific growth opportunities. We implemented the work-from-home model years before COVID forced others into it. Thus, it is not an experiment for us; it is the way we do business. Glassdoor reviews by ClaimCare® personnel paint a picture of why we attract people with great attitudes and core skills. (www.ClaimCare.net)
POSITION OVERVIEW: The core tasks for this work-from-home opportunity include:
- Researching, resolving, and re-billing unpaid or partially paid medical charges that are on the AR
- Utilizing spreadsheets and technology to prioritize and resolve charges in-bulk vs. individually
- Meeting or exceeding productivity metrics for performance standards and target goals per account
- Serving as key contact with clients for day-to-day tactical interactions regarding billing issues
- Notifying Managers of any systemic issues that impede efficient and effective payment of claims
- Utilizing CCI edits, CPTs, ICD-10’s, modifiers, HCPS, and other coding tools and terms
- Following all ClaimCare policies/procedures, governmental regulations, and HIPAA standards
- Maintaining a consistent workday schedule (8:00am – 5:00pm CST, with lunch hour)
- Helping with overtime requests (occasionally needed).
EXPERIENCE REQUIRED: At least 3 years direct experience of resolving unpaid or underpaid charges (more years of experience is a plus)
- Depth of knowledge with all Payer types (Commercials, Medicare, Medicaid, and W/C, etc)
- Direct experience in various billing systems, coupled with MS Office Suite tools
SKILLS, APTITUDES, and CHARACTERISTICS:
- Head-down hard worker, with a chin-up good attitude
- Prioritizes well and consistently achieves excellent results under pressure
- Team player who can work well independently, as well as with team structures
- Demonstrates excellent judgement when navigating complex and sensitive situations
- Good problem-solver and effective communications (both verbal and written skills)
- Strong mathematical and technology aptitudes
- Works effectively (do the right tasks) and efficiently (do the tasks right).
- Maintains confidentiality and complies with all HIPAA regulations
- Works accurately and welcomes detailed work
LOCATION & EQUIPMENT: This is a remote / work-from-home opportunity. ClaimCare has Employees from multiple states all across the U.S. The computer technology is provided by ClaimCare, and the Employee provides high-speed internet & router connection into their home, plus 2 monitors, and a keyboard.