Medix

As a leader, you will be expected to be fluent in the overall revenue cycle process (registration, insurance verification, strong experience in appeals/denial for following up on claims reimbursement, claims submission process, strong understanding of EOB's, UBO4 and CMS1500 forms for HB and PB claims and possess some coding knowledge.. Follow up on outstanding claims to expedite reimbursement and minimize aging AR. Proven experience and understanding of the Medical Billing and claims submission process with a strong background as an Accounts Receivable/Follow Up rep (researching to identify denial trends, strong focus on appeals and denial management and working directly with the various payers for reimbursement). Strong knowledge of medical billing software and electronic health records (EHR) systems, Epi experience is a plus. Familiarity with CPT, ICD-10, and HCPCS coding

accounts receivable representative

Job Title: Senior Accounts Receivable Representative (Healthcare) We are seeking a dynamic and experienced individual to join our team as Senior Accounts Receivable Representative for a lead role in healthcare. In this role, you will play a crucial part in overseeing Billing Representatives and being the point of escalation to handle escalated customer service situations, and ensuring the resolution of outstanding patient billing issues. As a leader, you will be expected to be fluent in the overall revenue cycle process (registration, insurance verification, strong experience in appeals/denial for following up on claims reimbursement, claims submission process, strong understanding of EOB's, UBO4 and CMS1500 forms for HB and PB claims and possess some coding knowledge. If you are a motivated individual with a passion for providing high-level customer service, leading teams, and contributing to the success of a healthcare organization, we encourage you to apply. Join us in making a positive impact on patient experiences and healthcare service delivery. Key Responsibilities: Review denied claims to identify reasons for rejection or underpayment
Investigate discrepancies and inaccuracies in billing records
Communicate effectively with insurance companies to appeal denials and resolve issues
Follow up on outstanding claims to expedite reimbursement and minimize aging AR
Collaborate with internal departments to obtain necessary documentation for claims processing
Maintain accurate and detailed records of billing activities and interactions
Stay informed about changes in healthcare regulations and insurance policies affecting billing practices
Qualifications: Proven experience and understanding of the Medical Billing and claims submission process with a strong background as an Accounts Receivable/Follow Up rep (researching to identify denial trends, strong focus on appeals and denial management and working directly with the various payers for reimbursement)
Proven experience with insurance verifications
Proven experience and strong knowledge of EOB's
Knowledge of UB-04 forms and CMS 1500
Strong knowledge of medical billing software and electronic health records (EHR) systems, Epi experience is a plus
Familiarity with CPT, ICD-10, and HCPCS coding
Excellent communication and negotiation skills
Ability to work independently and efficiently in a fast-paced environment
Attention to detail and accuracy in data entry and record-keeping
Ability to assist with audits and contribute to process improvement.
Motivational leadership style with a focus on team building.
Job Type: Full-Time Compensation: $19-21 hourly (depending on experience) Hours: Mon-Fri 8am-4:30pm Location: New Orleans (hybrid option available after training complete) Start Date: ASAP Benefits: In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s). As a contract employee with Medix, you can choose to enroll in our Benefits Program during your eligibility period and enjoy:
401(k) Retirement Plan (After 6+ months of service, during a 401k enrollment period)
Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
Prescription Programs
Short Term Disability Insurance
Term Life Insurance Plan Apply Today! #MedixHC

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