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Accounts Receivable

Career Details

Full-Time Minneapolis, MN Posted on 5/10/2022

Full Job Description

Job Summary:

Competent level of experience in medical billing (5 years minimum.), experience in DME preferred. A background in healthcare related industry experience required. Must be knowledgeable of insurance requirements, policy guidelines, and have the ability to determine medical justification by reviewing documentation to ensure proper reimbursement. Ability to effectively operate billing software and patient portal to cover the scope of his/her job description. Ability to type over 30 WPM and navigate computer programs accurately and efficiently.

Essential Functions:

Assists in coordinating and maintaining the professional reimbursement program to ensure compliance with current payments, rules and legislative regulations that impact billing and collections. Assists in determining appropriate use of codes for maximizing reimbursement of services.

Monitors and evaluates current reimbursement/payment rules and policy guidelines to ensure that legislative and regulatory changes impacting medical billing are anticipated and communicated to the company.

Pulls and prioritizes on a monthly basis A/R contained in assigned caseload. Paying close attention to high balance and timely filing limits invoices and accounts are worked down to a zero balance by resubmission of corrected claims, adjustments, or appeals as required by payor.

Reviews authorization, detailed prescriptions, and verification for claims within his/her caseload, to ensure that accurate and clean claims are submitted for revenue.

Confirms and prioritizes pick-ups, exchanges, and returns on both serialized and non-serialized equipment and supplies to ensure inventory and other functional operating areas are not negatively affected.

Ensures that claims improperly paid or processed are reviewed and followed up on in a timely manner to avoid write offs.

Elevates trending payor and payment problems to management for global resolution.

Requesting adjustments, write offs, or refunds from supervisor incompliance with company standards.

In addition to incoming correspondence from payors, works the following reports: Daily denials, monthly A/R report, task queue.

10 _ Responds to customer inquiries both in person and electronically (phone, fax, email) as necessary, including but not limited to payments on account, questions about benefits, and questions about insurance policy.

11 Assists Cash Application Specialist with questions and inquiries related to A/R activities.

12 Practices and adheres to all HIPAA, HQAA, and Compliance rules and regulations.

13 Performs other duties, as assigned by management.

Knowledge, Skill and Experience

1 Minimum Education (or substitute experience) required:

High school diploma or its equivalency

2 Minimum Experience Required:

5 years minimum experience in billing

3 Skills Required:

In depth understanding of medical billing in a HME environment.

Typical Working Condition

No or very limited exposure to physical risk.

Work is normally performed in a typical tempratured controlled interior/office work environment.

No or very limited physical effort required.

Typical office environment sounds

Equipment Used

Some examples of office equipment that will be utilized in this position are:

Computers

Monitors

Printers

Copiers

Fax Machines

Scanners

Telephones

Basic desk accessories

Physical Tasks

In addition to below this person will need to

Sitting at a desk and working on a computer.

Able to lift up to 20 pounds at times.

Able to access all areas of the facility.

Hearing, seeing, and talking are required for this position.

Job Type: Full-time

Pay: $20.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: One location

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