Job Description:
Baptist Health Medical Group is looking for an A/R Representative to join our team. This is a remote position that requires residency in KY or IN
Under the direction of the Medical Group’s CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and/or administrative functions.
Essential Duties:
- Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
- Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
- Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.
- Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
- Maintains working knowledge of payor policies applicable to assigned work group.
- Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
- Works Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
- Works with all other revenue cycle departments and practices to resolve any outstanding encounters
- Maintain productivity and quality standards as set by CBO leadership.
- Maintains an acceptable average “Quality Review” score as set by CBO quality and productivity policy.
- Maintains an acceptable productivity average of 90% or greater.
- Maintains working knowledge of payor policies applicable to assigned work group.
- Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.
Minimum Education, Experience, Training and Licensures Required
- High school graduate or GED certificate required; Associate degree preferred
- 3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred
- 1-2 years EPIC Practice Management experience preferred
- Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions)
- High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications)
- Advanced keyboarding skills
Monday-Friday, 1st shift