Billing Associate AR Representative- Workers Comp

Athletico • Westmont, IL 60559

Posted 3 weeks ago

Job Description

Overview Company Mission Statement

Athleticos sole purpose is to provide exceptional, progressive and cost effective fitness, rehabilitation and performance services through personalized care that emphasizes patient education and prevention of future injury.

One of many functions of the Billing Center is to prepare and submit clean claims to insurance companies, workers comp carriers and patients. The role of the AR Representative is to ensure outstanding claims and patient balances are paid. The A/R Representative typically researches, communicates, obtains and resubmits information in order to expedite reimbursement.

Responsibilities

Under the direct supervision of the A/R Manager AR Representative is responsible for:

  • Running, managing and working assigned aged account receivable (a/r) reports
  • Ensuring claim accuracy via RealMed Clearinghouse
  • Tasking clinic to obtain missing information (i.e. claim number etc.) and resolving account challenges
  • Actively troubleshooting problem accounts in order to obtain reimbursement
  • Clearly understanding guidelines set forth by each assigned insurance company
  • Assisting the clinics with insurance coverage and verification of benefits when necessary
  • Contacting insurance carriers via website and phone regarding unpaid claims
  • Serving as a liaison with the patient and insurance company during claim appeal processes
  • Identifying and forwarding accounts with auto, IR or patient responsibility to the appropriate AR Rep within the Billing Center
  • Making necessary corrections/updates (notes) in NG system regardless of the carrier
  • Answering phones while exhibiting professional and courteous telephone etiquette
  • Attending all scheduled meetings
  • Assisting with Billing Center Rotations
  • Performing other administrative duties and special projects as assigned

Qualifications
  • Must have at least a high school diploma
  • Computer skills required
  • Be comfortable with high volume work load
  • Knowledge of NG or other Healthcare billing system
  • Must be team-player
  • Be comfortable with fast paced work environment
  • Ability to prioritize and multi-task
  • Be organized and self-directed
  • Knowledge of healthcare insurance coverage required
  • Knowledge of medical billing and collection processes within the industrial rehabilitation preferred
  • Prior medical collection experience preferred

*CB


 

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