Remote Healthcare Medical Insurance Account Receivable Representative
About IKS: www.ikshealth.com Founded in 2006, IKS Health enables providers to provide better, safe, and more efficient care at scale. With over 12,000 employees, including over 1,500 physicians, and technologists, IKS Health provides solutions for over 150,000 providers across some of the largest and most prestigious healthcare provider groups in the country. Through our Provider Enablement Platform, IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most – the patient. We offer clinical, financial and administrative healthcare solutions for improved operational efficiency, better patient outcomes, optimized productivity, and revenue. We are a Patient Contact Center environment. Individual performance measurement while working within a team atmosphere Comprehensive 4 weeks training program Variable incentive bonus and recognition programs Opportunities for career growth Job Summary: The Account Receivable Representative is responsible for timely and effective AR follow-up with medical insurance institutions for medical claims. The AR rep will review, analyze, and obtain necessary information from the payers to maximize collections from the outstanding AR and to document the notes clearly in the billing and workflow systems. The AR rep will also need to coordinate with the Internal Offshore Team and with the Client to obtain relevant information to expedite the collections process. Key Responsibilities Adhere to Billing Guidelines and Policies Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level Identify the root cause for Rejections and Denials and escalate to appropriate team to take action · Identify the Responsible Payer Accurately and Bill / Appeal Claims Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool Communicate with clinic personnel and insurance to resolve the claim in a timely manner · Perform Ad-hoc Tasks assigned as Special Projects Qualifications/Skills: MUST HAVE Medicaid experience. 3-4 years experience in AR role/s Strong Interpersonal, Oral and Written Communication skills Ability to manage multiple and simultaneous responsibilities Ability to prioritize the tasks and manage accounts receivables gets assigned Should be Resourceful and Flexible team player who excels at building trust relationships with the customer operations Working knowledge of HCPCs codes Proficiency in computer skills including MS-Office and Google Suite Proficient in EPIC Billing System and any experience in Workflow Tools is an added advantage Proficiency with basic math and accounting skills Analytical Skills in identifying Trends impacting collections and AR Experience in working Medicare and Medicaid claims Experience in hospital claims follow-up Experience in ASC claims follow-up Familiarity with DDE systems Compensation and Benefits: The hourly rate ranges from $15hr- $22hr, determined by years of relevant experience, skills, and the specific geographical location where the work is performed. The pay for this position is Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package including healthcare, 401 (k), and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Apply tot his job