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Accounts Receivable Billing Specialist

Company: Integra Connect
Location: Fresno
Posted on: November 22, 2021

Job Description:

The AR Follow-up Representative is responsible for the follow-up on all private pay and commercial insurance claims. This role entails the resolution of unpaid accounts in a timely and efficient manner for multiple geographical areas.Responsibilities:Review, modify as necessary, and re-bill rejected/denied claims in 'queue'A by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.Process 'queues'A within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).Recode private pay, commercial insurance and HMO 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.Ensure that charges are billable to a particular commercial payor, based on the payor's criteria, as needed; Resolve payment issues with carriers.Resolve payment issues with carriers, (e.g. denials, partial payments, etc).Appeal claims as necessary.Qualifications:High School Diploma or GED required; Associates Degree or certificate of completion from a coding and billing school preferredMust pass new-hire and department-specific testing.Minimum one (1) year previous medical billing experience required, ambulance billing experience preferred.Knowledge of Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet.Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines).Understanding of Government coverage guidelines, filing limits and necessary prior authorizations; knowledge of Payor-specific requirements for one or more geographical areas and/or financial classes.Able to make Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.Knowledge of ICD-9 coding/condition codes and procedure cod.Benefits:Integra Connect, LLC provides a comprehensive benefits plan.Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hirePaid Time Off401k with employer matchPaid Holidays and Floating HolidayEqual Opportunity Employerby Jobble

Keywords: Integra Connect, Fresno , Accounts Receivable Billing Specialist, Accounting, Auditing , Fresno, California

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