Note: The job is a remote job and is open to candidates in USA. TeamHealth is the leading physician practice in the U.S. providing exceptional patient care. The Accounts Receivable Representative is responsible for reviewing and processing unadjudicated claims and ensuring that claims are paid correctly and in a timely manner.
Responsibilities
- Recognize potential problems including Provider Enrollment issues, CMS-1500 format problems, claims transmission problems, internal processing problems, erroneous demographic and insurance information, etc
- Problems identified must be brought to the attention of the A/R team leadership
- Thorough knowledge of TeamHealth billing directives and process all claims according to these directives. The goal is to ensure that the claims are paid correctly in a timely manner
- Process Carrier invoices either via web site claim status checks or phone calls for claim status and obtain payment information/denials information according to the TeamHealth and A/R Department policies and procedures
- Consistently meet established completion times for projects and assignments
- Communicate with the A/R team leadership on the progress of projects and assignments and progress toward completion on a timely basis
- Consistently meet and maintain the QA (95% error free) and production standards for designated team
- Other duties as assigned by the No Activity Senior/Supervisor or the A/R Manager
Skills
- High school diploma or equivalent
- 1 – 3 years of experience in physician medical billing
- General knowledge of ICD and CPT coding
- Thorough knowledge of physician billing policies and procedures
- Thorough knowledge of healthcare reimbursement guidelines
- Computer literate, working knowledge of Excel helpful
- Able to work in a fast-paced environment
- Good organizational and analytical skills
- Ability to work independently
Benefits
- Career Growth Opportunities
- A Culture anchored in a strong sense of belonging
- Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
- 401k (Discretionary match)
- Generous PTO
- 8 Paid Holidays
- Equipment Provided for Remote Roles
Company Overview