At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms.
Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting edge technology helps us deliver superior, cost effective services to our clients across the globe.
The Accounts Receivable Representative is responsible for maintaining the accurate and efficient flow of patient related information, payment and adjustment entry as well as accounts receivables and collections. This information insures maximum reimbursement for all charges from all responsible parties.
Principal Responsibilities:
- Review accounts receivable report for assigned companies on a monthly basis.
- Review all explanation of benefits with zero or partial payment as given by posters to send appropriate documentation for payment on a timely basis.
- Re-file claims not received by insurance companies.
- Request reviews and hearings for all claims denied by the insurance company.
- Use all resources available to follow up on any outstanding claims found on insurance pending.
- Follow up on all insurance balances secondary to Medicare.
- Assist coworkers working special Bill Cycle A/R on any review of accounts when requested.
- Answer any overflow of patient calls with billing questions same day as received.
- Clear-pend any accounts that have zero balances while working insurance pending reports.
- Identify and communicate trends in denials from Medicare and Commercial Payers to Supervisor in order to make any appropriate coding changes for clean claims.
- Identify and communicate to the Supervisor any protocol changes within the process to improve the efficient flow of information.
- Update patient insurance information and link old outstanding claims to send to correct insurance company.
- Communicate to the associate responsible to update insurance file when changes in claims addresses and information occur.
- Fill out refund form with two copies of all related explanation of benefits when credit balances are found on an account.
- Fill out adjustment log with all supporting documentation in order, to forward to Supervisor for approval.
- Have comprehensive knowledge of all resources available to gather information for review of claims i.e. EMR, hospital links, online access to insurance companies, ICD-9-CM and CPT books etc.
- Target any special accounts as directed by Supervisor.
Requirements:
- High school diploma or equivalent.
- 2-3 years of medical office experience.
- Knowledge of CPT and ICD-9-CM coding.
- Excellent written and oral communication skills.
- Well-groomed appearance; pleasant personality.
- Ability to work with others as a team.
- Experience with eClinicalsWorks.
- Greenway.
- Self-motivated and directed.
- Cardiology experience a plus.
About Medusind Inc,:
Since 2002, organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.Medusind’s unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.Our highly experienced personnel, cutting edge technology, and forward thinking approach allows us to deliver effective solutions while staying ahead of healthcare industry changes.
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