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