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Medical AR Follow-Up Specialist at Advanced Billing Consultants – Goodlettsville, Tennessee

Advanced Billing Consultants
Goodlettsville, Tennessee, 37072, United States
Posted on
Updated on
Salary:$19 - $22Job Function:Admin/Clerical/Secretarial

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About This Position

Medical AR Follow-Up Specialist

It's your choice, choose AdvancedHEALTH. AdvancedHEALTH specializes in medical billing services, accounts receivable, and information management for medical practices. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance, and we offer competitive wages and benefits.
The AR Follow-up Specialist is responsible for ensuring prompt and complete follow-up on unpaid or denied claims, by following payer specific processes to bill correct claims, submit reconsiderations and appeals, and identify and escalate denial trends to the Billing Manager. This is a full-time position and does require the candidate to be onsite.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Maintaining AR queues at a reasonable age-base date as defined by management
  • Timely submission of medical record documentation requests from payers
  • Responsible for reviewing and resolving denied or aging medical claims
  • Responsible for timely follow-up on all appeal submissions
  • Escalate exhausted appeal efforts, denials, and/or overpayment trends, as needed to Billing Manager for resolution or escalation.
  • Work payer projects as directed
KNOWLEDGE, SKILLS, ABILITIES:
  • Solid understanding of payer specific billing and claims submission policies, including timely filing limits, medical record, corrected claim, and reconsideration submission
  • Advanced business letter writing skills to include correct use of grammar and punctuation required for appeal letter writing and submission
  • Working knowledge of professional and institutional claim forms (CMS-1500, UB-04)
  • Basic understanding of ICD-10 CM, CPT, Modifier and HCPCS codes, and medical terminology
  • Proficient Microsoft Office (Outlook, Word, Excel, and Teams) skills
EDUCATION / EXPERIENCE:
  • High School Diploma or equivalent, college coursework preferred
  • 1 – 3 years' experience in a healthcare environment performing billing and/or collections or equivalent revenue cycle experience
  • Enterprise eClinical Works E H R experience preferred
  • Prior experience and knowledge of Orthopedic, Physical Therapy, Occupational Therapy, and Workers Compensation billing is beneficial
WE OFFER:
  • Medical Insurance, Dental, & Vision
  • Health Savings Account
  • Flex Spending for child care
  • Paid life insurance of $50,000
  • Paid Long Term Disability Insurance
  • Voluntary Life Insurance
  • Voluntary Short Term Disability
  • Many Aflac Policies: Accident, Hospital, Critical Illness, Identity Theft, Legal Plan
  • 401K – very generous plan… the company contributes even if you do not
  • PTO (Paid Time Off) – generous plan
  • Employee Perks

Job Location

Goodlettsville, Tennessee, 37072, United States
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Job Location

This job is located in the Goodlettsville, Tennessee, 37072, United States region.

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