Apr 23, 2024

Medical Billing AR Follow-Up Specialist - On-Site

  • Advanced Billing Consultant
  • Goodlettsville, TN, USA
Full Time (CPB) Certified Professional Biller

Job Description

It’s your choice, choose Advanced Billing Consultants.  Advanced Billing Consultants specializes in medical billing services, accounts receivable, and information management for medical practices.  Join our growing team.  We promote a fun and friendly work environment.  We encourage work/life balance, and we offer competitive wages and benefits.

The AR Follow-up Specialist is responsible for ensuring prompt and complete follow-up on unpaid or denied claims, by following payer specific processes to bill correct claims, submit reconsiderations and appeals, and identify and escalate denial trends to the Billing Manager. This is a full-time position and does require the candidate to be onsite.

 ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Maintaining AR queues at a reasonable age-base date as defined by management
  • Timely submission of medical record documentation requests from payers
  • Responsible for reviewing and resolving denied or aging medical claims
  • Responsible for timely follow-up on all appeal submissions
  • Escalate exhausted appeal efforts, denials, and/or overpayment trends, as needed to Billing Manager for resolution or escalation.
  • Work payer projects as directed

KNOWLEDGE, SKILLS, ABILITIES:

  • Solid understanding of payer specific billing and claims submission policies, including timely filing limits, medical record, corrected claim, and reconsideration submission
  • Advanced business letter writing skills to include correct use of grammar and punctuation required for appeal letter writing and submission
  • Working knowledge of professional and institutional claim forms (CMS-1500, UB-04)
  • Basic understanding of ICD-10 CM, CPT, Modifier and HCPCS codes, and medical terminology
  • Proficient Microsoft Office (Outlook, Word, Excel, and Teams) skills

EDUCATION / EXPERIENCE:

  • High School Diploma or equivalent, college coursework preferred
  • 1 – 3 years’ experience in a healthcare environment performing billing and/or collections or equivalent revenue cycle experience
  • Enterprise eClinical Works E H R experience preferred
  • Prior experience and knowledge of Orthopedic, Physical Therapy, and Occupational Therapy billing

 WE OFFER:

  • Medical Insurance, Dental, & Vision
  • Health Savings Account
  • Flex Spending for child care
  • Paid life insurance of $50,000
  • Paid Long Term Disability Insurance
  • Voluntary Life Insurance
  • Voluntary Short Term Disability
  • Many Aflac Policies:  Accident, Hospital, Critical Illness, Identity Theft, Legal Plan
  • 401K – very generous plan… the company contributes even if you do not
  • PTO (Paid Time Off) – generous plan

Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

0-2 years

Required Travel

No required travel

Applicant Location

US residents only