Follow-Up Representative -- REMOTE

Follow-up Representative ? Job Description ? Indeed Updated 5 / 1 / 2024

POSITION: Medical Billing - A/R & Follow-Up Rep, Full-Time (work-from-home)

COMPANY: ClaimCare?is an established 100% USA-based ?Top 10 Medical Billing and Coding Company? with competitive salaries, great benefits, and terrific growth opportunities. We implemented the work-from-home model years before COVID forced others into it. Thus, it is not an experiment for us; it is the way we do business. Glassdoor reviews by ClaimCare?personnel paint a picture of why we attract people with great attitudes and core skills. (www.ClaimCare.net)

POSITION OVERVIEW: The core tasks for this work-from-home opportunity include:
? Researching, resolving, and re-billing unpaid or partially paid medical charges that are on the AR
? Utilizing spreadsheets and technology to prioritize and resolve charges in-bulk vs. individually
? Meeting or exceeding productivity metrics for performance standards and target goals per account
? Serving as key contact with clients for day-to-day tactical interactions regarding billing issues
? Notifying Managers of any systemic issues that impede efficient and effective payment of claims
? Utilizing CCI edits, CPTs, ICD-10?s, modifiers, HCPS, and other coding tools and terms
? Following all ClaimCare policies/procedures, governmental regulations, and HIPAA standards
? Maintaining a consistent workday schedule (8:00am ? 5:00pm CST, with lunch hour)
? Helping with overtime requests (occasionally needed).

EXPERIENCE REQUIRED: At least 3 years direct experience of resolving unpaid or underpaid charges (more years of experience is a plus)
? Depth of knowledge with all Payer types (Commercials, Medicare, Medicaid, and W/C, etc)
? Direct experience in various billing systems, coupled with MS Office Suite tools

SKILLS, APTITUDES, and CHARACTERISTICS:
? Head-down hard worker, with a chin-up good attitude
? Prioritizes well and consistently achieves excellent results under pressure
? Team player who can work well independently, as well as with team structures
? Demonstrates excellent judgement when navigating complex and sensitive situations
? Good problem-solver and effective communications (both verbal and written skills)
? Strong mathematical and technology aptitudes
? Works effectively (do the right tasks) and efficiently (do the tasks right).
? Maintains confidentiality and complies with all HIPAA regulations
? Works accurately and welcomes detailed work

LOCATION & EQUIPMENT: This is a remote / work-from-home opportunity. ClaimCare has Employees from multiple states all across the U.S. The computer technology is provided by ClaimCare, and the Employee provides high-speed internet & router connection into their home, plus 2 monitors, and a keyboard.