Role Description
Baptist Health Medical Group is looking for an A/R Rep to join our team! This is a remote work position that requires residency in KY or IN.
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Under the direction of the Medical Groupโs CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as:
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Billing
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Follow-up
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Claim edits
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Credits
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Provider enrollment review
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Other billing-related projects
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Cash posting and payer underpayment resolution
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Customer service
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Administrative functions
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Essential Duties:
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Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
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Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
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Follow up on unpaid claims, identify overpayments, and initiate refunds and adjustment process to ensure accurate and timely submission.
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Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
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Maintain working knowledge of payor policies applicable to assigned work group.
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Work closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
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Handle Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
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Collaborate with all other revenue cycle departments and practices to resolve any outstanding encounters.
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Maintain productivity and quality standards as set by CBO leadership.
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Maintain an acceptable average โQuality Reviewโ score as set by CBO quality and productivity policy.
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Maintain an acceptable productivity average of 90% or greater.
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Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.
Qualifications
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High school graduate or GED certificate required; Associate degree preferred.
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3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred.
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1-2 years EPIC Practice Management experience preferred.
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Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions).
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High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications).
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Advanced keyboarding skills.
Benefits
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If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Company Description
Baptist Health is an Equal Employment Opportunity employer.