Welcome to Med A/Rx Med A/Rx is a new way to think about revenue cycle management for the healthcare financial professional. We have combined the power of a state of the art accounts receivable management firm with a highly sophisticated health care financial consulting team with access to HITECH Denial Management tools to get the job done.This combination through sister companies PMAB, MBOC, and Medspan Technologies respectively, with their unmatched technical expertise, and executional skills deliver far superior results for your bottom line: PMAB: By embracing technology we have radically changed the face of outsourced A/R management. We have created a proprietary account scoring algorithm that allows us to evaluate the A/R data and create a superior patient contact rate. We then feed this data into our state of the art telecommunications systems which leads directly to a higher close rate and significanly improve cash flows for our clients. MBOC: Through a traditional healthcare consulting approach, we work with your organization to acheive best practices and ultimately improve the quality of your receivables as they move through your system. Medspan Technologies: Through the provision of an application of a practical, secured, web based tool for Denial Management Reports and Monitoring,we can provide a system that is system netural,easily, implemented and it is a month to month subscription with no longterm contract. Med A/Rx was created to extract all the power and synergies from our sister companies, PMAB, MBOC, and Medspan Technologies. We firmly believe that our adavanced analytical tools when teamed up with the state of the art executional tools and people at PMAB, delivers unmatched results for our clients. Regardless of your need, you need Med Arx. Contact us today at 704 553 7144

Job Details

Description

WHAT WE DO: Meduit is seeking highly qualified candidates to join our Insurance Specialist teams. If you are goal driven, hard-working, and have excellent communication or customer service skills, we invite you to apply with us today! Insurance Specialists are responsible for hospital and physician billing. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.

Essential Duties And Accountabilities

Reduce outstanding accounts receivable by managing claims inventory 
Speak to patients and insurance companies in a professional manner regarding their outstanding balances 
Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services 
Request, input, verify, and modify patient’s demographic, primary care provider, and payor information 
Utilize tools, including computer programs, when indicated 
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. 
Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures 
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc. 
Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software 
Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies 
Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow 
Other duties as assigned

Education/Experience/ Minimum Qualifications

S. Diploma/GED
2+ years of Denials Management experience
2-3 years Medical Billing/Follow-up experience
Medicare, Medicaid, and commercial payor experience required
Must have high integrity
Have a positive attitude and demonstrate teamwork

Competencies: To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions:

Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria 
Excellent verbal and written communication and interpersonal skills
Ability to work independently with minimal supervision, within a team setting and be supportive of team members
Proficient with Microsoft Office  
Ability to analyze issues and make judgments about appropriate steps toward solutions
Knowledge of patient billing claims process
Familiarity with insurance explanations of benefits and denial codes
Knowledge of payor programs
Strong and professional telephone communication skills
Experience with electronic health record or similar software program
Knowledge of medical terminology and coding
Knowledge of applicable federal and state regulations

Special Position Requirements

Language Skills: Ability to read, analyze, and interpret information including training instructions and patient bills.
Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Reasoning Ability: The person in this position frequently communicates with consumers who have inquiries about their bills. Must be able to exchange accurate information in these situations.
Computer Skills: Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.

Work Requirements

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to remain in a stationary position over 50% of the time. Constantly works in indoor weather conditions.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet.

Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state or local protected class.

Insurance Follow-Up Specialist

Job description

Required profile

Experience

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