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SGS Consulting
Prairie, MN | Full Time
$43k-54k (estimate)
2 Weeks Ago
Billing Representative
SGS Consulting Prairie, MN
$43k-54k (estimate)
Full Time 2 Weeks Ago
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SGS Consulting is Hiring a Billing Representative Near Prairie, MN

Company Description

About US: SGS is a New Jersey headquartered end-to-end Professional Services firm servicing a diverse Fortune clientele. SGS is a Equal Opportunity Employer and prides itself as a employee oriented organization that considers an ensemble of all employee satisfaction elements crucial to organizational and employee growth. We offer a complete range of benefit packages to our employees which includes but is not limited to paid vacations, holidays, personal days, medical insurance, 401K savings plan, life insurance, disability insurance and many other attractive benefits.

Job Description

Job Title: Billing Representative

Duration: 3 Months(temp to perm) (direct offer)

Location: Eden Prairie, MN

Job Description:

• Performs follow-up on outstanding Certificates of Medical Necessity (CMNs), prescriptions and processes renewal CMNs/prescriptions through the use of suspended billing reports. Maintains and monitors follow up system to confirm that action takes place per Apria "best practices". 

• Performs timely follow-up on renewal authorizations to maintain reimbursement activity. 

• Contacts patient to gain involvement in problematic situations.

• Elevates aged prescriptions to manager for decision and resolution. 

• Evaluates all completed CMNs/prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations. 

• Enters CMNs/prescription information into computer once the prescriptions are completed and returned from the physicians.

• Documents all account activity on system. May perform internal quality audits to ensure that all necessary documentation is included in each patient file. 

• Processes, reviews and mails prescription and/or CMNs to physicians for signature. 

• Provides feedback on errors identified to the appropriate supervisor through the use of the ENF process or other accepted method.

• Researches diagnosis and insurance benefits to receive proper reimbursement.

• Assists in obtaining authorization for reimbursement for some accounts.

• Requests adjustments on accounts and recommends necessary changes to supervisor. 

• Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices". 

• Performs other related duties as directed by supervisor.

 Himanshu Ojha

6096518972

Job Summary

JOB TYPE

Full Time

SALARY

$43k-54k (estimate)

POST DATE

04/21/2024

EXPIRATION DATE

06/19/2024

WEBSITE

sgsconsulting.com

HEADQUARTERS

Princeton, NJ

SIZE

200 - 500

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The job skills required for Billing Representative include Billing, Life Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing Representative. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Billing Representative positions, which can be used as a reference in future career path planning. As a Billing Representative, it can be promoted into senior positions as a Billing Clerk II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing Representative. You can explore the career advancement for a Billing Representative below and select your interested title to get hiring information.

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If you are interested in becoming a Billing Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Billing Representative for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Billing Representative job description and responsibilities

A billing representative assists with the overall operations of the organization's billing department.

02/24/2022: Trenton, NJ

Billing Representative is responsible for overseeing the billing process for customers or patients.

01/03/2022: Youngstown, OH

They also perform client accounts reconciliation as needed, monitor account receivables, review over dated balance, and notify clients of payment updates to ensure accurate and timely billing.

02/07/2022: Montgomery, AL

Moreover, a medical billing clerk must monitor patient accounts and follow-up on delinquent patient accounts, coordinating with collection agencies as needed.

02/03/2022: Las Vegas, NV

Billing representatives may provide counseling, alerting people to their obligations when they accept products and services and offering advice on reducing expenses.

02/28/2022: Gastonia, NC

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Billing Representative jobs

Many utilities, medical offices, and similar service providers use billing representatives to manage their billing and payment systems.

03/07/2022: New Suffolk, NY

Some employers are satisfied with a high school diploma and prior billing and collections experience.

03/11/2022: Hopkinsville, KY

Billing specialists can earn certifications to gain more practical knowledge of their daily responsibilities, test their professional skills and further advance their career.

01/02/2022: Milwaukee, WI

Billing specialists spend a lot of time seated behind a desk using office equipment such as computers, printers, fax machines, and office telephones.

02/12/2022: Alexandria, LA

Billing specialists have a wide variety of relevant certifications to choose from.

03/23/2022: Fresno, CA

Step 3: View the best colleges and universities for Billing Representative.

Florida Southern College
Colby College
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University of Notre Dame
Western Washington University
Canisius College
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