Audit & Resolution Representative – Anesthesia

Job Description

• Accountable for client performance while ensuring all goals are met
• Daily clean claim effort: research, corrections, improvements/edits
• Assist with phone calls to/from patients, insurance carriers and clients (inbound and outbound) if needed
• Assist on clearinghouse rejections
• Work various reports such as, but not limited to, Pre-collections and AR follow-up
• Ensure workflow is on par; monitor and report progress; advise Manager of issues
• Process account corrections and adjustments
• Identify and resolve billing/reimbursement issues
• Produce, review and correct collector write-off reports
• Perform projects: participate as needed in projects requested by Manager and/or clients and complete them as assigned
• Other duties as assigned

Qualifications

• Minimum of 2 Years Medical Billing experience in AR follow-up
• Ability to manage day-to-day workload and assist team members as needed
• Ability to work well within a team environment
• Ability to contend with and communicate professionally with patients, insurance companies, associates, management and clients
• Possess excellent problem solving skills
• Highly efficient and able to motivate others
• Possess a positive work ethic and strong job focus
• High level of proficiency with multiple applications including, but not limited to, MS Office (excel and word), with the ability to quickly learn and pick up new systems
• Strong analytical skills with acute attention to detail
• Strong conceptual understanding of billing and collection processes
• Ability to organize workload and work independently
• Ability to work overtime when needed
• Ability to interpret information on EOBs, correspondence, insurance websites and execute appropriate actions
• Ability to research, interpret, educate/communicate insurance billing policy updates, LCDs, etc.
• Must have strong conceptual understanding of billing and collection processes
• Excellent written, verbal and typing skills
• Experience with quality analysis, clean claim processing and outsourcing; preferred

Job Type: Full-time

Application Questions

• How many years of EOB interpretation experience do you have?
• How many years of Healthcare experience do you have?
• How many years of Insurance denials, rejections, and errors experience do you have?
• How many years of Medical Billing experience do you have?
• How many years of Patient Account Management experience do you have?
• Are you willing to undergo a background check, in accordance with local law/regulations?