Evercommerce logo

Evercommerce

Medical AR Collection Specialist

AllMeds - RCM – Oak Ridge, Tennessee
Department AllMeds - RCM
Employment Type Full Time

You:

In this role, you will be responsible for reviewing and conducting claim status on claims for all insurance carriers for specialty physician practices. You will maintain accuracy and production to ensure accounts receivable is being processed effectively.

Us:

AllMeds Inc. is a leading provider of specialty specific Electronic Health Record, Practice Management and Revenue Cycle Management to private physician practices across the nation.

Where:

Oak Ridge, TN

Core Responsibilities:

  • Conducts claim status using clearinghouses, payer web portals, fax, spreadsheet, and phone processes.
  • Reviews Medicare claims to identify potential problem areas for each assigned physician practice and payer.
  • Reviews and works Medicaid claims to identify potential problem areas for each assigned physician practice and payer.
  • Reviews and works Workers’ Compensation and No-Fault Claims for to identify potential problem areas for each assigned facility.
  • Reviews and works commercial and managed care claims as required.
  • Contacts and follows up on Medicare, Medicaid, Blue Cross Blue Shield, Managed Care, and Commercial insurances to inquire on unpaid claims as required for claim to pay.
  • Assembles and forwards appropriate documentation to the AR Manager for provider related or claim spec issues.
  • Assembles and forwards appropriate documentation to the appeals unit or to the coding unit for dispute.
  • Posts denials and adjustments, and files claims as needed.
  • Works from worklists of assigned AR to ensure timely reviews.

Additional Responsibilities:

  • Performs all duties as directed by AR manager.

Reporting Responsibilities:

  • Reports any consistent errors identified during review that affect claims from being processed correctly that may include carrier/billing system issues, filing address, eligibility, payment address, etc.
  • Presents to AR Manager unusual circumstances that may include adjustments, denials, fee schedules, claims, contracts, etc.


Skills & Qualification:

  • High school diploma or equivalent required;
  • Previous medical billing experience with primary emphasis on collections from Government or Managed Care programs;
  • Good computer skills;
  • Excellent communication skills both oral and written;
  • Ability to meet deadlines and work overtime as needed.

 

Benefits & Perks:

  • Competitive salary
  • Robust medical benefits & 401(k)
  • Public transportation reimbursement
  • Gym stipend
  • Start with 17 vacation days plus your birthday off
  • Snacks, lunches, and happy hours 
Thank You
Your application was submitted successfully.
Apply for this Job
  • Location
    Oak Ridge, Tennessee
  • Department
    AllMeds - RCM
  • Employment Type
    Full Time
  • Powered by