Insurance AR Follow up Representatives-Physician Billing

A major medical management firm in Suffolk County, NY seeks an Insurance AR Follow-Up Representative in Physician Billing. The ideal candidates will have heavy Medicare and Medicaid experince in a Hospital or Physician's office.

Summary:
Responsible for accurate and timely follow-up of outstanding claims, responding to inquires and correspondence for assigned accounts in accordance with established procedures. Ensure that all external customers (patients/visitors/guests) receive prompt attention. Handles telphone inquires, resolving customer questions. Strives to address external and internal customer needs and concerns.

Essential Duties and Responsibilities:

• Displays courtesy, tact and diplomacy when dealing with employees, patients, physicians and other institutions.
• Responds to inquires via telephone, fax and mail.
• Works on aging self-pay work ques as assigned, calls respective responsible parties and updates billing system.
• Accepts and processe credit card payments via phone. Generates receipts to send to patients.
• Updates, calls, researches workers comp and no-fault pending with accurate billing information.
• Updates Medicaid eligibility results in billing system.
• Brings ongoing issues distributing the usual billing and payment cycle to supervisor attention.
• Internet website utilization.

Education / Work Experience:

• High School Diploma or GED
• Heavy experience  experience with Medicare and Medicaid in a Hospital or Physician's office.

Skills and Knowledge:

• Computer Literacy
• Third Party Billing
• Third Party websites
• Thorough knowledge of third party regulations, medical terminolgy and proper completion of CMS (HCFA) 1500.

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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