AR/Medical Claims Representative (Remote)

TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow... across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K program (Discretionary matching funds available)
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans

THIS IS A REMOTE POSITION!

Starting at $15.00/hr. and up depending on experience!

JOB DESCRIPTION OVERVIEW:

The remote AR/Medical Claims Representative is responsible for reviewing and processing unadjudicated claims based on the criteria loaded for the Enterprise Task Manager System as directed by the Accounts Receivable Supervisor and the A/R Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES: • Recognize potential problems including Provider Enrollment issues, CMS-1500 format problems, claims transmission problems, internal processing problems, erroneous demographic and insurance information, etc. Problems identified must be brought to the attention of the A/R Team Senior/Supervisor/Manager • Thorough knowledge of TeamHealth billing directives and process all claims according to these directives. The goal is to insure that the claims are paid correctly in a timely manner • Process Carrier invoices either via web site claim status checks or phone calls for claim status and obtains payment information/denials information according to the Team Health and A/R Department policies and procedures • Consistently meet established completion times for projects and assignments • Communicate with the A/R Team Senior/Supervisor and A/R Manager on the progress of projects and assignments and progress toward completion on a timely basis • Consistently meet and maintain the QA (95% error free) and production standards for designated team • Other duties as assigned by the No Activity Senior/Supervisor or the A/R Manager

QUALIFICATIONS / EXPERIENCE:
• Thorough knowledge of physician billing policies and procedures
• Thorough knowledge of healthcare reimbursement guidelines
• Computer literate, working knowledge of Excel helpful
• Able to work in a fast-paced environment
• Good organizational and analytical skills
• Ability to work independently
• High school diploma or equivalent
• One to three years’ experience in physician medical billing
• General knowledge of ICD and CPT coding

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