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
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 confirmed base pay range for this position is $20-22/hour. 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, 401k, 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.
Our mission is to enable efficient and sustainable delivery of excellent care. The IKS Care Enablement Platform enables us to deliver the chores of healthcare, across administrative, clinical, and operational burdens, enabling clinicians and staff to focus on their core purpose of delivering great care to their patients.
IKS Health creates transformative value in healthcare through a unique combination of cutting edge technology and dedicated experts that empowers clinicians to build healthier communities, and enables stronger, financially sustainable enterprises.
Our global team of 14,000, including 600+ technologists and 2,600+ clinical staff, enables 150,000 clinicians to rediscover the joy of medicine. IKS Health is the trusted partner for 900+ clients including the largest hospitals, health systems, and specialty groups across the United States.
