Integra Connect · 6 hours ago
AR Follow-Up Representative
United States
Full-time
Remote
Entry Level
1+ years exp
Maximize your interview chancesInformation Technology & Services
Hiring Manager
Cathy Robinson
Insider Connection @Integra Connect
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Responsibilities
Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim.
Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary.
Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
Other duties as assigned.
Work in a spirit of teamwork and cooperation.
Convey a sense of competence and commitment.
Use initiative to learn new skills, enhance personal knowledge and improve communications.
Demonstrate an ability to work well with team members.
Communicate a willingness to help others succeed.
Share workspace and resources as necessary.
Qualification
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Required
High School Diploma or GED required
Minimum one (1) year previous medical billing experience required
Medical transportation processes
Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet
Process of signature and paperwork compliance
Payor-specific requirements for one or more geographical areas and/or financial classes
Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service
ICD-9 coding/condition codes and procedure codes
Government coverage guidelines, filing limits and necessary prior authorizations
Medical terminology and insurance terminology
Internal Compliance guidelines
Appeal levels and the redetermination process
HIPAA requirements
Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines)
Basic understanding of Microsoft Word and Excel
Communicate effectively, (both orally and in writing) in English
Preferred
Associates Degree or certificate of completion from a coding and billing school
Ambulance billing experience
Benefits
Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
Paid Time Off
401k with employer match
Paid Holidays and Floating Holiday
Company
Integra Connect
Integra Connect is driven to make specialty care practices clinically and financially successful through value-based, precision medicine.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Cory Wiegert
COO
Prateesh Varughese PharmD MBA
VP, Strategic Partnerships in Life Sciences
Recent News
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