Job Description

Job Description

Job Summary

The position will be responsible for all insurance follow-up from third party payers, to be responded to in a courteous, timely manner.

Representatives will process patient accounts to third parties and resolve accounts to a zero balance. Expertise in all third-party billing and contracted payment agreements. The account representative is required to have good writing skills, and ensure proper account documentation. Verbal communication required for relaying issues/concerns with problem accounts to supervisor and mangers.

Job Functions

• Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
• Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims.
• Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.
• Maintain accounts receivable detail by use of on-line system documentation.
• Reports productivity results daily to the AR supervisor.
• Maintains standards per payer for percentage accounts >90 days.
• Works minimum standard number of accounts per payer per day.
• Meets or exceeds collection goals by payer each month.
• Works all assigned accounts at least once every 15 or 30 days, depending on balance.
• Participates in educational activities and attends monthly department staff meetings.
• Maintains confidentiality: adheres to all HIPAA guidelines/regulations.
• Other duties as assigned from time to time.

Minimum Qualifications

Three to Five years’ experience in medical office billing preferred.
Knowledge of ICD-10 /HCPCS/CPT Coding
Basic Knowledge of third party insurance plans
Familiarity with medical terminology helpful.

Skills ****

• Must be able to communicate effectively when in contact with insurance carriers, third party payers and patients.
• Must be able to learn and understand patient accounting policies and procedures and how the Accounts Receivable computer system works.
• Must be able to use a computer, calculator, fax machine. Copier and other office tools efficiently to meet performance goals.
• Intermediate knowledge of Microsoft Word and Excel: and the ability to learn new programs and systems.
• Dependable in both production and attendance .

Company Description

MPS is a specialized personnel agency focused on serving the physicians of our community by providing the most qualified candidates for their practices, making their practices run more smoothly and allowing them to take better care of their patients. MPS is a subsidiary of the Chattanooga-Hamilton Medical Society which is physician owned and driven. We can put your resume in the hands of hiring managers very quickly and effectively. We work really hard to match you to the perfect position and specialty that you desire. We have full and part-time positions available.

Company Description

MPS is a specialized personnel agency focused on serving the physicians of our community by providing the most qualified candidates for their practices, making their practices run more smoothly and allowing them to take better care of their patients. MPS is a subsidiary of the Chattanooga-Hamilton Medical Society which is physician owned and driven. We can put your resume in the hands of hiring managers very quickly and effectively. We work really hard to match you to the perfect position and specialty that you desire. We have full and part-time positions available.