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-10s, 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.