Medicare Follow-Up Specialist
Company: Sonic Healthcare USA, Inc
Location: Austin
Posted on: January 24, 2023
|
|
Job Description:
Job Functions, Duties, Responsibilities and Position
Qualifications: The A/R Follow Up Specialist is responsible for the
management of Medicare accounts through written or verbal direction
from patients, aged trial balance reports and Medicare rejection
reports for the accurate and timely filing of claims for maximum
reimbursement. A/R Follow Up Specialists will have the ability to
provide support to other Accounts Receivable departments, as
needed. All staff must adhere to all department policies and
procedures. Job Responsibilities: Essential Functions: Customer
service duties include answering telephones politely and
confidently for patients and others regarding billing inquiries and
resolving billing issues. Act as a resource regarding Medicare
compliance guidelines. Accurately enter information provided by
various sources to correct claims in regards to CPT and ICD-10
codes and send out results in a timely manner to Medicare. Must be
able to interpret and communicate Medicare Explanation of Benefits.
Must be able to make calls to insurance carrier to obtain
elaborated description of the claim denials. Must be able to
interpret and communicate Explanation of Medicare Advantage
Benefits. Audits accounts showing Medicare denials to resolve
balances. Resolve invoice issues from outside laboratories for
Medicare patients. Communicate with Team Lead and/or A/R Supervisor
as needed. Strong data entry skills, with the ability to meet
production guidelines as set by A/R department policy. Ability to
stay work focused and performs job duties efficiently and
accurately. Employee must comply with Sonic Healthcare USA's
compliance policies and procedures. Duties include but are not
limited to the above mentioned responsibilities. Perform other
duties as assigned. Skills: Knowledge of computer technology and
terminology Ability to type and demonstrate10 key proficiency
Perform duties in a timely and accurate manner Maintain
confidentiality of information Ability to communicate effectively
at all levels within the company, with patients and physician
office staff Possess effective work habits and ability to
build/maintain work relationships Ability to read and comprehend
English Ability to work under deadlines Job Qualifications:
Required: High School diploma or GED Typing (min 35 wpm) and 10 Key
Preferred 2 years' experience in standard Medicare or related HMO
plans Experience with medical coding, private insurance, laboratory
and/or medical billing Customer service experience Bilingual
speaking skills/Spanish Experience in multitasking environment
Scheduled Weekly Hours: 40 Work Shift: 1st Shift (United States of
America) Company: Sonic Healthcare USA, Inc Sonic Healthcare USA is
an equal opportunity employer that celebrates diversity and is
committed to an inclusive workplace for all employees. We prohibit
discrimination and harassment of any kind based on race, color,
sex, religion, age, national origin, disability, genetics, veteran
status, sexual orientation, gender identity or expression, or any
other characteristic protected by federal, state, or local
laws.
Keywords: Sonic Healthcare USA, Inc, Austin , Medicare Follow-Up Specialist, Other , Austin, Texas
Click
here to apply!
|