AR Follow Up Representative

The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /Medicaid and Government HMO. The incumbent will resolve unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining quality and productivity standards set for the Level 1 A/R Follow-up Representative. Responsibilities: Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim. Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix. Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims). Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary. Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary. Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process. Other duties as assigned. Work in a spirit of teamwork and cooperation. Convey a sense of competence and commitment. Use initiative to learn new skills, enhance personal knowledge and improve communications. Demonstrate an ability to work well with team members. Communicate a willingness to help others succeed. Share workspace and resources as necessary.