Surgical AR Representative

Job Responsibilities

• Identifying trends in billing, coding, denials, underpayment etc.
• Updating plan IDs and Patient/Payor demographic information.
• Identifying payor issues and trends.
• Rejection and Denial management.
• Answering medical record requests related to claim resolution.
• System Rejections
• Clearinghouse Rejections
• Denial and Appeal Management
• Able to navigate Insurance portals
• Medical Record response
• Training others
• Perform other duties as assigned

Requirements

• High School Diploma or Equivalent
• 2-3 Years full-time surgical billing reimbursement experience
• Full understanding of surgical billing from hospital and ASC environment
• Superior knowledge of coding guidelines and reimbursement schemes
• Exceptional organizational and computer skills
• Willing and able to follow directions and adhere to priorities
• Conversational knowledge of medical terminology, abbreviations, techniques, and surgical procedures

Preferred Qualifications

• Excellent written and oral communication along with solid analytical skills
• Ability to work independently and with a team
• 3 years eClinical Works RCM experience in patient account and denial management

Benefits

• Health, Vision and Dental
• Paid holiday and PTO
• FSA
• High income potential with base and bonus structure, etc.