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Follow-Up Representative -- REMOTE

Remote, USA Full-time Posted 2025-04-19

Follow-up Representative ?? Job Description ?? Indeed Updated 5 / 1 / 2024

POSITION: Medical Billing - A/R & Follow-Up Rep, Full-Time (work-from-home)

COMPANY: ClaimCare?? is an established 100% USA-based ??Top 10 Medical Billing and Coding Company?? with competitive salaries, great benefits, and terrific growth opportunities. We implemented the work-from-home model years before COVID forced others into it. Thus, it is not an experiment for us; it is the way we do business. Glassdoor reviews by ClaimCare?? personnel paint a picture of why we attract people with great attitudes and core skills. (www.ClaimCare.net)

POSITION OVERVIEW: The core tasks for this work-from-home opportunity include:
?? Researching, resolving, and re-billing unpaid or partially paid medical charges that are on the AR
?? Utilizing spreadsheets and technology to prioritize and resolve charges in-bulk vs. individually
?? Meeting or exceeding productivity metrics for performance standards and target goals per account
?? Serving as key contact with clients for day-to-day tactical interactions regarding billing issues
?? Notifying Managers of any systemic issues that impede efficient and effective payment of claims
?? Utilizing CCI edits, CPTs, ICD-10??s, modifiers, HCPS, and other coding tools and terms
?? Following all ClaimCare policies/procedures, governmental regulations, and HIPAA standards
?? Maintaining a consistent workday schedule (8:00am ?? 5:00pm CST, with lunch hour)
?? Helping with overtime requests (occasionally needed).

EXPERIENCE REQUIRED: At least 3 years direct experience of resolving unpaid or underpaid charges (more years of experience is a plus)
?? Depth of knowledge with all Payer types (Commercials, Medicare, Medicaid, and W/C, etc)
?? Direct experience in various billing systems, coupled with MS Office Suite tools

SKILLS, APTITUDES, and CHARACTERISTICS:
?? Head-down hard worker, with a chin-up good attitude
?? Prioritizes well and consistently achieves excellent results under pressure
?? Team player who can work well independently, as well as with team structures
?? Demonstrates excellent judgement when navigating complex and sensitive situations
?? Good problem-solver and effective communications (both verbal and written skills)
?? Strong mathematical and technology aptitudes
?? Works effectively (do the right tasks) and efficiently (do the tasks right).
?? Maintains confidentiality and complies with all HIPAA regulations
?? Works accurately and welcomes detailed work

LOCATION & EQUIPMENT: This is a remote / work-from-home opportunity. ClaimCare has Employees from multiple states all across the U.S. The computer technology is provided by ClaimCare, and the Employee provides high-speed internet & router connection into their home, plus 2 monitors, and a keyboard.

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