Medical AR Collection Specialist

Joist App Knoxville , TN 37902

Posted 3 weeks ago

AllMeds RCM is a premier billing service for specialty physicians nationwide and we're searching for experienced staff in medical billing, coding, payment posting and patient services to join our team in our Oak Ridge office with an additional location opening soon in Knoxville TN. We need smart and passionate individuals to fill this new space, so if this sounds like you please apply.

You:

In this role, you will be responsible for reviewing and conducting claim status on claims for all insurance carriers for specialty physician practices. You will maintain accuracy and production to ensure accounts receivable is being processed effectively.

Us:

AllMeds Inc. is a leading provider of specialty specific Electronic Health Record, Practice Management and Revenue Cycle Management to private physician practices across the nation.

Where:

AllMeds RCM is currently located in Oak Ridge, TN and will be expanding in 2019 due to growth. Our additional office will be centrally located near downtown Knoxville. We offer exciting opportunities and a great work environment in both locations!

Core Responsibilities:

  • Conducts claim status using clearinghouses, payer web portals, fax, spreadsheet, and phone processes.

  • Reviews Medicare claims to identify potential problem areas for each assigned physician practice and payer.

  • Reviews and works Medicaid claims to identify potential problem areas for each assigned physician practice and payer.

  • Reviews and works Workers' Compensation and No-Fault Claims for to identify potential problem areas for each assigned facility.

  • Reviews and works commercial and managed care claims as required.

  • Contacts and follows up on Medicare, Medicaid, Blue Cross Blue Shield, Managed Care, and Commercial insurances to inquire on unpaid claims as required for claim to pay.

  • Assembles and forwards appropriate documentation to the AR Manager for provider related or claim spec issues.

  • Assembles and forwards appropriate documentation to the appeals unit or to the coding unit for dispute.

  • Posts denials and adjustments, and files claims as needed.

  • Works from worklists of assigned AR to ensure timely reviews.

Additional Responsibilities:

  • Performs all duties as directed by AR manager.

Reporting Responsibilities:

  • Reports any consistent errors identified during review that affect claims from being processed correctly that may include carrier/billing system issues, filing address, eligibility, payment address, etc.

  • Presents to AR Manager unusual circumstances that may include adjustments, denials, fee schedules, claims, contracts, etc.

Skills & Qualification:

  • High school diploma or equivalent required;

  • Previous medical billing experience with primary emphasis on collections from Government or Managed Care programs;

  • Good computer skills;

  • Excellent communication skills both oral and written;

  • Ability to meet deadlines and work overtime as needed.

Benefits & Perks:

  • Competitive salary

  • Robust medical benefits & 401(k)

  • Public transportation reimbursement

  • Gym stipend

  • Start with 17 vacation days plus your birthday off

  • Snacks, lunches, and happy hours

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
AR Supervisor

Summit Medical Group

Posted 1 week ago

VIEW JOBS 9/7/2019 12:00:00 AM 2019-12-06T00:00 About Summit Medical Group Summit Medical Group is East Tennessee's largest primary care organization with more than 300 providers at 60 practice locations in 14 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, three express clinics, central laboratory and sleep services center. Summit provides healthcare services to more than 260,000 patients, averaging over one million encounters annually. For more information, visit www.summitmedical.com In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program. Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Furthermore, Summit Medical Group hires only non-tobacco users. Pre-employment drug testing will include testing for nicotine, and only candidates who pass the drug test will be considered eligible for employment. About Our Career Opportunity Summit Strategic Solutions, a business partner of Summit Medical Group, is seeking an AR Team Leader to assist the Department Manager in support of the daily operations and activities of the AR department. This is a full time opportunity, M-F, 8am-5pm. RESPONSIBILITIES: (List does not include all duties assigned) * Completes regular and special audits of AR staff members. * Observes the daily activities of AR staff members, and reports productivity status to the Department Manager. * Answers escalated calls from patients and other customers. * Responds to patient inquiries (including statements, customer service requests, patient letters, and patient phone calls) about their accounts. * Works closely with the Department Manager to complete priority projects. * Communicates appropriate problems, questions and / or concerns to Department Manager. * Provides training to all new AR staff members regarding job responsibilities, policies, and procedures. * Assists colleagues in department and other office personnel, as appropriate. * Assists the Department Manager with communication of new policies and workflow changes to AR staff members. * Adheres to all elements of the established corporate compliance plan. * Maintains strictest confidentiality both internally and externally. * Performs related work as assigned Requirements EDUCATION: High School Diploma or GED required. EXPERIENCE: Prefer minimum of two years' experience in a medical billing setting. Apply On-line Send This Job to a Friend © Copyright Summit Medical Group, P.L.L.C. Corporate Offices: 1275 Dick Lonas Rd NW, Suite 201 Knoxville, TN 37909 Phone: 865-584-4747 Fax: 865-584-1363 Physician & Staff Login Proudly serving the following counties in East Tennessee: Knox | Loudon | Blount | Sevier | Greene | Anderson Roane | Jefferson | Campbell | Monroe | Union Summit Medical Group Knoxville TN

Medical AR Collection Specialist

Joist App