Medi-Centrix offers a physician-focused approach to revenue cycle management, data extraction, and decision support. We help physicians navigate the healthcare landscape as it evolves and prepare you for participation in value-based care arrangements and bundled payment models. To ensure that our strategy and deliverables continue to address the most pressing needs of today's physician community, we rely on our Physician Advisory Board to provide valuable insights.
Medi-Centrix provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Medi-Centrix complies with applicable state and local laws governing nondiscrimination in employment in every location where the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
The Physician Billing/AR Follow Up Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.
Responsibilities and Duties
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
Meets and maintains daily productivity/quality standards established in departmental policies
Meets and maintains quality standards established in departmental policies
Uses the MPower workflow system, client host system and other tools available to them to collect payments and resolve accounts
Adheres to the policies and procedures established for the client/team
Identify trends and issues and assist with developing solutions to improve collections process
Initiate appeals when necessary
Ability to identify and correct medical billing errors
Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
Ability to analyze, identify and resolve issues causing payer payment delays
Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
Act cooperatively and courteously with patients, visitors, co-workers, management and clients
Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Work independently from assigned work queues
Maintain confidentiality at all times
Maintain a professional attitude
Other duties as assigned by the management team
Qualifications and Skills
3 years' experience in insurance collections, including submitting and following up on claims for a Medical Practice, Ambulatory Surgical Center, Hospital and/or other Medical Facility/Medical Billing Company
Physician/Professional Billing: 1 year
Previous experience in Hospital/Facility or Physician billing
Extensive knowledge of individual payor websites, including Navinet and Novitasphere
Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes
Ability to work well individually and in a team environment
Proficiency with MS Office. Must have basic Excel skillset
Experience with GE Centricity or EPIC PB preferred
Experience with EClinical Works (ECW) preferred
Strong communication skills/oral and written
Strong organizational skills
General office environment -
While performing the duties of this job, the employee is occasionally required to move around the work area;
Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
The employee must be able to follow directions, to get along with others, and handle stress;
The noise level in the work environment is usually minimal.