Job Description

Job Description

Job Summary:

The Insurance Account Receivable Representative is responsible for Timely and Effective Account Receivables Follow-up with medical Insurance Institutions for an Orthotics and Prosthetics Medical Claims. The CSR will Review, Analyze and Obtain necessary Information from the Payers to Maximize Collections from the Outstanding AR and Document the Notes clearly in the billing and Workflow Systems. The CSR will also need to coordinate with Internal Offshore Team and with the Client to obtain relevant Information to Expedite the Collections Process.

Key Responsibilities

· Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp

· Review, Analyze O&P Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level

· Identify the root cause for Rejections and Denials and escalate to appropriate team to take action

· Identify the Responsible Payer Accurately and Bill / Appeal Claims

· Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool

· Communicate with clinic personnel and insurance to resolve the claim in a timely manner

· Perform Ad-hoc Tasks assigned as Special Projects

Qualifications

· Minimum six months of experience in Insurance AR with O & P specialty

· Strong Interpersonal, Oral and Written Communication skills

· Ability to manage multiple and simultaneous responsibilities

· Ability to prioritize the tasks and manage accounts receivables gets assigned

· Should be Resourceful and Flexible team player who excels at building trust relationships with the customer operations

· Working knowledge of HCPCs codes related to O P Billing

· Proficiency in computer skills including MS-Office tools like MS-Word and MS-Excel

· Proficient in NextGen Billing System and any experience in Workflow Tools is an added advantage

· Knowledge of State and Federal reimbursement laws

· Ability to work independently

· Proficiency with basic math and accounting skills

· Analytical Skills in identifying Trends impacting collections and AR

Job Summary:

The Insurance Account Receivable Representative is responsible for Timely and Effective Account Receivables Follow-up with medical Insurance Institutions for an Orthotics and Prosthetics Medical Claims. The CSR will Review, Analyze and Obtain necessary Information from the Payers to Maximize Collections from the Outstanding AR and Document the Notes clearly in the billing and Workflow Systems. The CSR will also need to coordinate with Internal Offshore Team and with the Client to obtain relevant Information to Expedite the Collections Process.

Key Responsibilities

· Adhere to O&P Billing Guidelines and Policies

· Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp

· Review, Analyze O&P Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level

· Identify the root cause for Rejections and Denials and escalate to appropriate team to take action

· Identify the Responsible Payer Accurately and Bill / Appeal Claims

· Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool

· Communicate with clinic personnel and insurance to resolve the claim in a timely manner

· Perform Ad-hoc Tasks assigned as Special Projects

Qualifications

· Minimum six months of experience in Insurance AR with O & P specialty

· Strong Interpersonal, Oral and Written Communication skills

· Ability to manage multiple and simultaneous responsibilities

· Ability to prioritize the tasks and manage accounts receivables gets assigned

· Should be Resourceful and Flexible team player who excels at building trust relationships with the customer operations

· Working knowledge of HCPCs codes related to O P Billing

· Proficiency in computer skills including MS-Office tools like MS-Word and MS-Excel

· Proficient in NextGen Billing System and any experience in Workflow Tools is an added advantage

· Knowledge of State and Federal reimbursement laws

· Ability to work independently

· Proficiency with basic math and accounting skills

· Analytical Skills in identifying Trends impacting collections and AR

Company Description

With over 14000 plus employees, including over 1,500 physicians, and technologists, IKS Health provides
solutions for over 150,000 providers across some of the largest and most prestigious healthcare provider
groups in the country.
Through our Provider Enablement Platform, IKS Health provides a strategic blend
of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving
providers the tools and resources they need to focus on what matters most – the patient. We offer
clinical, financial and administrative healthcare solutions for improved operational efficiency, better patient
outcomes, optimized productivity, and revenue.

Company Description

With over 14000 plus employees, including over 1,500 physicians, and technologists, IKS Health provides\r\nsolutions for over 150,000 providers across some of the largest and most prestigious healthcare provider\r\ngroups in the country. \r\nThrough our Provider Enablement Platform, IKS Health provides a strategic blend\r\nof technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving\r\nproviders the tools and resources they need to focus on what matters most – the patient. We offer\r\nclinical, financial and administrative healthcare solutions for improved operational efficiency, better patient\r\noutcomes, optimized productivity, and revenue.