Billing and Insurance Reimbursement and A/R Follow Up Rep II

Business Unit: GE HealthcareFunction: Customer ServiceResponsibilities: The Billing, Insurance Follow-up and Reimbursement Representative Rep II will be responsible for a variety of functions related to accounts receivable follow up and reimbursement, cash and denial application, and billing and collections. The Representative(s) will be under the direct supervision of Accounts Receivable Follow-up Team Leaders, Supervisor or Manager. Process insurance claims and rebilling of claims as directed and assigned. Make necessary demographic and insurance additions, deletions and corrections to guarantor/patient/insurance information as required.Review and analyze exception reports and work lists as assigned. Maintain and process insurance edit lists as directed.Post insurance payments and allowances.Properly code and post all payment denial and rejection reasons. Properly handle all other insurance explanation of benefits that require other activities or reconciliation.Reconcile credit balances and process valid refunds in accordance with written policies.Perform write off allowances and/or adjustments that have reasonable justification in accordance with written policies.Meet minimum production and performance target goals on a daily, weekly and monthly basis.Perform follow up and research on open A/R balances as assigned in PCS work files or directly by Manager/Team Leader and in accordance with written policies. Contact insurance company/third parties by telephone, letter, fax, e-mail, etc. as needed.Interact with collections, patient services and central processing teams to ensure highest possible collections and patient satisfaction.Work effectively as a team member, offering support, making suggestions, accepting change and handling work loads in an appropriate manner.Clearly communicate work related problems and issues to appropriate management personnel.Other duties as required or assigned.
REQUIREMENTS
Qualifications: Ability to understand and follow verbal and written instructions.Strong analytical, problem solving, verbal and written communication skills.Ability to work independently as well as part of a team.High school graduate and a minimum of one year relevant experience with practice management system(s) and/or physician/clinic billing.Desired: Ability to interact and communicate effectively with customers at all levels of the organization required.Knowledge of Third Party Payer(s), Medicare, Part B Medicaid regulations, CPT and ICD9 coding, and/or medical terminology Strong work ethic and desire to succeed.General: GE is an equal opportunity employer, offering a great work environment, challenging career opportunities, professional training and competitive compensation.The United States has regulations that govern the hiring of current or former U.S. Government employees. If you currently work for (or have in the past) the U.S. Government (in any capacity), you may have certain responsibilities under these regulations and certain restrictions may apply to your potential employment with GE. Therefore, if you are contacted by GE regarding a position of employment, and you have worked for the U.S. Government at any time, please immediately inform the GE representative of this fact.