Melville, New york
AR Representative Job Opening in Melville, New york - Achieve Beyond is a national pediatric healthcare agency. We provide services children with developmental delays throughout the United States. We are currently seeking an AR Representative to join our growing team. This role will be located in our Melville office. This is a temp to perm position.
Essential Duties and Responsibilities:
Works with the billing and AR department maximize reimbursement from payors.
Review and resubmit denied claims by calling insurance companies to have claims reprocessed.
Review, reconcile and follow up on claims which are incorrectly paid.
Contacts insurance companies with major issues to ensure accuracy of billing for maximum payment.
Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc.
Documents notes in patient?s accounts
Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor
Able to communicate effectively via phone & in person with carriers, patients, staff and management
Education and/or Work Experience Requirements:
Three to five years of experience working in health care billing. CPC or CCS highly preferred.
Knowledge of Insurance rules, regulations and compliance guidelines.
Ability to interpret CPT/HCPC/ICD-10 books.
Other Requirements:
Experience working with all Microsoft Office Programs, Adobe, and electronicbilling softwatre. *Raintree a Plus*
Compensation: $16-$19 per hour
Job Type: Full-time
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