A/R Representative – Customer Service Billing

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

💝 Customer Support

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Logo of GMH

GMH

1 - 10 employees

Founded 2002

🏭 Manufacturing

🔧 Hardware

🔬 Science

Manufacturing • Hardware • Science

GMH is a French manufacturer of hydraulic and electrical equipment for commercial fishing vessels and research ships. Founded in 2002 and based in Marzan, the company designs and builds winches, hydraulic net and pot haulers, handling systems and bespoke marine equipment, offering custom solutions, delivery across France, and support for scientific, work and training boats.

📋 Description

• Assist in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor • Monitor work queues containing claim errors, discharged-not-billed accounts, and rejections; perform timely submission • Review medical insurance carrier requirements and collaborate with revenue-cycle departments to resolve billing and claim edits • Understand explanations of benefits and remittances • Respond to vendor requests in a timely and professional manner • Maintain accounts in the billing system • Follow up with government and non-government third-party insurance carriers on unpaid, underpaid, and denied facility accounts and claims • Resolve problems causing delays in reimbursement • Review, document, and take appropriate action on payer and patient correspondence • Identify and report payer denial and underpayment trends to supervisors or management • Verify account insurance and patient liability buckets • Post, balance, and reconcile patient account payments for accounts receivable • Process electronic batches in the hospital billing module and correct remittance errors • Correct work-queue errors and clear queues regularly • Post self-pay remittance files, EOB files, paper checks, denial information, and follow-up information • Close batches by verifying payments are posted and reconciled to cash control amounts • Post insurance recoupments using designated payment codes • Monitor accounts-receivable aging by payer to ensure timely primary and secondary billing • Collect private-pay balances and ensure statements are processed and paid promptly • Review DFCS notices against Gammis to ensure correct patient liability calculations • Use in-house adjustment and activity codes while meeting productivity and quality standards • Attend or complete required department training • Assist with end-of-month reconciliation procedures • Prepare supporting documentation for leadership • Perform other duties as assigned

🎯 Requirements

• Must be able to accurately type 30 WPM • Successfully complete competency exam with 80% proficiency • Business knowledge and results oriented experience within Patient Financial Service • Demonstrated knowledge and experience with Microsoft Suite, including Excel and Word • Highly motivated and detail oriented • Excellent teaming, communication, time management, and organizational skills • Ability to be flexible and work collaboratively among internal and external departments • Ability to effectively investigate, analyze, and solve problems • Hands-on knowledge of Current Procedural Terminology (CPT) • Knowledge of International Classification of Diseases (ICD-9) coding • Knowledge of Healthcare Common Procedure Coding System (HCPCS), revenue codes, and hospital billing terminology • Knowledge of Outpatient Code Editor (OCE) and Correct Coding Initiative (CCI) edits • Job-related experience in health care revenue cycle • Demonstrated service and success in teamwork and consistent high productivity and quality • Working knowledge of Medicare Secondary Payer and medical necessity requirements • Epic experience • Hands-on knowledge of Medicare and Medicaid regulations • Experience with Uniform Billing (UB-04), healthcare finance administration (HCFA), and 1500 claims forms billing and follow-up functions, both electronic and manual • 2 years of college (Associate Degree)

🏖️ Benefits

• Medical, dental, vision, and prescription drug coverage • Retirement savings plans with employer contributions • Life insurance • Disability coverage • Paid time off • Holidays • Family leave benefits • Tuition reimbursement • Professional development programs • Opportunities for advancement • Employee Assistance Program (EAP) • Wellness initiatives • Discounts on services

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