A R Rep

bhmg baptist health medical

📍 kentucky united states🕐 5d ago🔗 workday

Job Description

**Summary** **Job 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**_ Under the direction of the Medical Group’s CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and/or administrative functions. **Essential Duties:** * Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately. * Review previous notes, correspondence, and document actions taken on account in the Practice Management System. * Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.  * Perform account reconciliations and analysis to ensure accuracy and completeness of invoices. * Maintains working knowledge of payor policies applicable to assigned work group. * Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer. * Works Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones. * Works with all other revenue cycle departments and practices to resolve any outstanding encounters * Maintain productivity and quality standards as set by CBO leadership. * Maintains an acceptable average “Quality Review” score as set by CBO quality and productivity policy. * Maintains an acceptable productivity average of 90% or greater. * Maintains working knowledge of payor policies applicable to assigned work group. * Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership. _**Minimum Education, Experience, Training and Licensures Required**_ * High school graduate or GED certificate required; Associate degree preferred * 3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred * 1-2 years EPIC Practice Management experience preferred * Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions) * High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications) * Advanced keyboarding skills _**Monday - Friday; First shift**_ ### _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!_ ### Baptist Health is an _Equal Employment Opportunity_ employer.
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