Experienced Remote AR/Medical Claims Representative – Physician Billing and Reimbursement Expert

About TeamHealth

TeamHealth is a leading healthcare organization that has been recognized as one of the "150 Great Places to Work in Healthcare" by Becker's Hospital Review and has ranked as "The World's Most Admired Companies" by FORTUNE Magazine for three consecutive years. As a physician-led and patient-focused organization, we continue to grow and expand our services across the United States, from our clinicians to our corporate employees. We are committed to providing exceptional care and service to our patients, and we are seeking a dedicated and experienced AR/Medical Claims Representative to join our team.

Job Summary

We are seeking an experienced AR/Medical Claims Representative to work from home in a remote position. As a key member of our team, you will be responsible for reviewing and processing unadjudicated claims based on the criteria loaded for the Enterprise Task Manager System as directed by the Accounts Receivable Supervisor and the A/R Manager. If you are a motivated individual with a strong background in physician billing and reimbursement, we encourage you to apply for this exciting opportunity.

Key Responsibilities

• Recognize potential problems: Identify potential issues with claims, including Provider Enrollment problems, CMS-1500 format problems, claims transmission problems, internal processing problems, erroneous demographic and insurance information, etc. Bring these issues to the attention of the A/R Team Senior/Supervisor/Manager.
• Process claims according to directives: Thoroughly understand TeamHealth billing directives and process all claims according to these directives to ensure timely and accurate payment.
• Communicate with the A/R Team: Consistently meet established completion times for projects and assignments, and communicate with the A/R Team Senior/Supervisor and A/R Manager on the progress of projects and assignments.
• Meet QA and production standards: Consistently meet and maintain the QA (95% error free) and production standards for designated team.
• Other duties as assigned: Perform other duties as assigned by the No Activity Senior/Supervisor or the A/R Manager.

Qualifications and Experience

To be successful in this role, you will need to possess the following qualifications and experience:

• Thorough knowledge of physician billing policies and procedures: You should have a strong understanding of physician billing policies and procedures, including knowledge of healthcare reimbursement guidelines.
• Computer literacy: You should be computer literate, with a working knowledge of Excel.
• Organizational and analytical skills: You should possess good organizational and analytical skills, with the ability to work independently.
• High school diploma or equivalent: You should have a high school diploma or equivalent.
• One to three years' experience in physician medical billing: You should have one to three years' experience in physician medical billing, with a general knowledge of ICD and CPT coding.

Benefits and Compensation

We offer a competitive salary for this role, starting at $15.00 per hour, with the potential for increases based on experience. In addition to a competitive salary, we offer a range of benefits, including:

• Career growth opportunities: We offer opportunities for career growth and development, with a focus on helping you achieve your career goals.
• Benefit eligibility: You will be eligible for comprehensive benefits, including medical, dental, vision, and life insurance, from the first of the month following 30 days of employment.
• 401K program: We offer a 401K program with discretionary matching funds available.
• Generous personal time off: You will receive generous personal time off, with eight paid holidays per year.
• Quarterly incentive plans: We offer quarterly incentive plans to recognize and reward your hard work and dedication.

Work Environment and Culture

We are a remote-friendly organization, with a focus on providing a flexible and supportive work environment. Our team is dedicated to providing exceptional care and service to our patients, and we are committed to creating a positive and inclusive work culture. If you are a motivated and dedicated individual who is passionate about delivering exceptional results, we encourage you to apply for this exciting opportunity.

How to Apply

If you are a motivated individual with a strong background in physician billing and reimbursement, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about this role and to submit your application.