AR Follow-up Specialist - Summit Medical Group
Full Time
Knoxville, TN 37909
Posted
Job description
Responsibilities:
EXAMPLES OF DUTIES: (List does not include all duties assigned)
Qualifications:
EXPERIENCE:
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.
Summit Medical Group is seeking an
AR Follow-up Specialist to complete follow-up activities to ensure timely account reconciliation to minimize aging claims and maximize revenue cycle efficiency. This is a
full-time remote position.
EXAMPLES OF DUTIES: (List does not include all duties assigned)
- Communicates with payers, patients, and providers to ensure timely resolution of all outstanding claims (due or overpaid) via phone, emails, fax or websites or mail.
- Assists in maintaining, updating, and auditing the patient account and eligibility information.
- Coordinates with management in identification and resolution of denial trends, including timely escalation, regular updates and attending payer meetings as needed.
- Manages account reconciliations related to missing remittance, refunds required, and any transfers or adjustments needed.
- Assists colleagues in department and other office personnel, as appropriate.
- Displays initiative, when appropriate, while investigating insurance pending reports and handling other assignments.
- Stays up-to-date and utilizes available payer website tools for claim and remittance functions.
- Communicates problems, questions and/or concerns to supervisor timely.
- Keeps current knowledge of payer policy changes and internal billing policies.
- Communicates with and resolves inquiries from insurance companies, patients, and physicians regarding billing problems.
- Ensures coding is compliant and up to date.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Attends training and other meetings as appropriate; keeps current on revisions related to registration and computer skills.
- Maintains strictest confidentiality both internally and externally.
- Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
- Perform special projects and other duties as needed by the management team.
Qualifications:
EDUCATION:
High School Diploma or GED required.
EXPERIENCE:
One-year experience in a medical billing office setting required.
Overview:
Summit Medical Group is East Tennessee’s largest primary care organization with more than 375 providers at 82 practice locations in 16 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center. Summit provides healthcare services to more than 280,000 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.
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