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Medical AR Collection Specialist

Company: AllMeds Inc.
Location: Knoxville
Posted on: December 4, 2019

Job Description:

AllMeds RCM is a premier billing service for specialty physicians nationwide and we're searching for experienced staff in medical billing, coding, payment posting and patient services to join our team in our Oak Ridge office with an additional location opening soon in Knoxville TN. We need smart and passionate individuals to fill this new space, so if this sounds like you please apply. 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: AllMeds RCM is currently located in Oak Ridge, TN and will be expanding in 2019 due to growth. Our additional office will be centrally located near downtown Knoxville. We offer exciting opportunities and a great work environment in both locations! 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

Keywords: AllMeds Inc., Knoxville , Medical AR Collection Specialist, Accounting, Auditing , Knoxville, Tennessee

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