AkronRecruiter Since 2001
the smart solution for Akron jobs

Profee Medical Billing-AR

Company: Odyssey Health Systems
Location: Fairlawn
Posted on: April 9, 2021

Job Description:

POSITION SUMMARYThe AR Specialist is responsible for following up on claims and billed professional fee charges. This person should be able to navigate payer and clearinghouse websites and utilize excellent phone skills when obtaining claim status. The goal is to perform one touch resolution by obtaining all appropriate information, commenting thoroughly and taking appropriate action for adjudication. It is imperative for this position to understand the unique requirements of each individual payer as well as the time limits surrounding claim and appeal submission. It is essential that this person fully comprehends explanation of benefits from each carrier from several different states as well as being able to identify trends and escalating in a timely manner in order to be managed efficiently. ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Effectively work from daily AR report
    • Perform follow-up either on website or placing phone calls to Insurance Carrier or patient with unpaid claims
    • Navigate effectively and efficiently through insurance websites
    • Verify insurance eligibility and benefits; obtain LCD''s/Carrier Policies
    • Understand managed care authorizations and limits to coverage such as the number of visits
      • This is encountered often when billing for specialties; know where to find such authorizations and have claim reprocessed
      • Research credit balances providing feedback and/or prepares refunds for approval by Supervisor
      • Process correspondence requests; respond to customer inquiries in a timely manner
      • Provide weekly review of rejected claims and find resolutions
      • Identify and awareness of claim submission/deadlines and escalate trends; discuss ideas for process improvement with the Supervisor
      • Report all insurance company trends to the AR Team Lead that might be hindering payment/adjudication
        • Maintain production standard of 40-50 accounts/day
          • Contribute to special projects, as assigned by the AR Team Lead
          • Perform other duties as assigned and/or assume additional responsibilities as requiredQUALIFICATIONS (Knowledge, Skills, and Ability Requirements)
            • High School Graduate or equivalentMinimum of 2 years relevant experience in a health care organization
            • Knowledgeable on insurance and reimbursement processKnowledge of medical terminologyExcellent communication skillsDemonstrate time management skills; must be able to meet deadlines
            • Must be computer literate and have basic word processing, excel, and calculator skills; computation, typing and filing
              • Must be able to work flexible hours when needed and occasional extended hours when necessary
              • Effectively cope with change
              • Orchestrate multiple activities at once to accomplish a goal; uses resources effectively and efficiently; detail oriented
              • Widely trusted; keeps information confidential; maintain confidentiality within a HIPAA secure environmentENVIRONMENTAL/WORKING CONDITIONS
                • Normal office environment
                • Sit for long periods of time; manual dexterity, use a calculator and to operate a computer keyboard; frequent mobility required to access files; bending, stooping, walking and lifting required
                • Must be able to work flexible hours when necessary with occasional extended hours when necessary
                • Mandatory overtime at month-endSUPERVISORY RESPONSIBILITIESDoes this job have supervisory responsibilities? No Are there subordinate supervisors reporting to this job? No Are there other non-supervisory employees who report directly to this job? NoGBS RevCycle/Odyssey Health Systems is an equal opportunity and affirmative action employer. We consider all qualified applicants for employment without regard to race, color, religion, creed, national origin, sex, pregnancy, age, sexual orientation, transgender status, gender identity, disability, alienage or citizenship status, marital status or partnership status, genetic information, veteran status or any other characteristic protected under applicable law.by Jobble

Keywords: Odyssey Health Systems, Akron , Profee Medical Billing-AR, Healthcare , Fairlawn, Ohio

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Healthcare Jobs

ICU, MICU - Medical Intensive Care Units - Travel RN
Description: Travel Nurses Needed - RN Intensive Care Units br Nationwide Registered Nurse Travel Jobs br The Travel Nurse Season is here and it showsFind great travel assignments with the best in compensation (more...)
Company: RN Travel HealthCare Jobs
Location: Euclid
Posted on: 04/17/2021

Cath Lab RN - Travel Nurse Assignments
Description: Cardiac Cath Lab RN - Nationwide Travel Nurse AssignmentsAre you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Traveler Jobs
Location: Newark
Posted on: 04/17/2021

Licensed Health Insurance Agent - Work from Home, Great Sales opportunity
Description: Assurance, a Prudential company, is hiring Under 65 Health Insurance Sales Agents in your city. If you're already a Licensed Insurance Agent have a Residential Insurance License, we want to hear from (more...)
Company: ASSURANCE Independent Agents
Location: Mansfield
Posted on: 04/17/2021

Surgical Technologist (Surg. Tech)
Description: We currently have a client in Strongsville, OH looking for a Licensed Surgical Technologist Focus Staff is seeking a traveling Licensed Surgical Technologist to work under the supervision of the surgeon (more...)
Company: Focus Staff
Location: Strongsville
Posted on: 04/17/2021

Endoscopy Travel RN - Job Id: JO03024110
Description: Tailored Healthcare Staffing is seeking
Company: Tailored Healthcare Staffing
Location: Strongsville
Posted on: 04/17/2021

Emergency Department RN - ED/ER Nurse Assignments
Description: Emergency Department RN - Assignments Nationwide Travel Nurse Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for (more...)
Company: HealthCare Traveler Jobs
Location: Euclid
Posted on: 04/17/2021

Surgery Department - Special Procedures Travel RN
Description: Travel Surgery Nurses Needed - Special Procedures RNs Nationwide Travel RN Nursing Assignments br br Looking for a Surgical Services travel assignment You are in the right place, the HCEN Network (more...)
Company: RN Travel HealthCare Jobs
Location: Mentor
Posted on: 04/17/2021

Travel Nurse Neonatal Intensive Care RN-NICU
Description: Travel Nurse Neonatal ICU RN Registered Nurse br NICU Travel Nurse Jobs Assignments br Looking for a NICU travel assignment You are in the right place, the HCEN Network of staffing agencies have (more...)
Company: RN Travel HealthCare Jobs
Location: Warren
Posted on: 04/17/2021

Description: Psychiatric-Mental Health opening in Strongsville, Ohio. This and other physician jobs brought
Company: Cambridge Medical Professionals
Location: Strongsville
Posted on: 04/17/2021

RN / Registered Nurse Job in Elyria, Ohio / Travel
Description: Registered Nurse RN / Travel / Emergency RoomRegistered Nurse - Emergency Room - Travel - OHAt MAS Medical
Company: MAS Medical
Location: Elyria
Posted on: 04/17/2021

Log In or Create An Account

Get the latest Ohio jobs by following @recnetOH on Twitter!

Akron RSS job feeds