AR Follow Up Specialist - EngageMED

JOB SUMMARY:

Under the direction of the Billing Office Manager, the AR Follow-Up Manager is a non-exempt position responsible for the proper and timely processing of claims and payments to providers.

Supervisory Responsibilities:

• None

Safety Sensitive Role:

• Yes

Duties/Responsibilities:

• Follows up on denied or pended medical claims and answers associated correspondence.
• Resubmits corrected claims to payers and files appeals if necessary.
• Analyzes unpaid claims and determines correct course of action to resolve.
• Communicates payer trends or issues to management.

Required Skills/Abilities:

• Working knowledge of CPT and ICD10
• Knowledge of health care insurance claim practices and compliance.
• Knowledge of computer systems, programs, and applications.

• Knowledge of medical terminology.
• Skill in researching and reporting claim information.
• Skill in trouble-shooting claim insurance problems.
• Skill in written and verbal communication and customer relations.
• Ability to work effectively with physicians, other medical staff, and external agencies.
• Ability to identify and analyze claim problems.
• Teamwork Orientation: works cooperatively & collaboratively with others toward the accomplishment of shared goals.
• Service Orientation: desire to serve and focus one's efforts on discovering and meeting the needs of internal and external customers.

• Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.
• Learning and Growth: has a commitment to continuous professional and organizational learning.
• Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.
• Good computer skills using a medical management application.
• Possess a strong work ethic and a high level of professionalism.

Education and Experience:

• High school diploma or equivalent required.
• Some college preferred but not required.
• Minimum 2 - 3 years of healthcare experience.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Requires good dexterity and range of motion.
• Must be able to lift up to 50 pounds at times.

Disclaimers

• This job description reflects EngageMED’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.
• Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons.