MediCare Representative

AMERICAN MEDICAL RESPONSE
POSITION DESCRIPTION

JOB TITLE: Medicare Representative

SUMMARY: Reporting to the PBS Medicare Supervisor, the Medicare Representative will be responsible for performing all aspects of billing and follow-up activities related to Medicare.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

•Prepare and submit all billings expeditiously.
•Respond to phone and mail inquiries from Medicare on a daily basis.
•Conduct all follow up activities including handling all correspondence for appeals and fair hearings.
•Process all denials to maximum benefit.
•Adhere to all company policies and procedures.
•Assure that customer problems are handled properly and promptly.
•Handle walk in customers as needed.
•Process and review assigned queues on a daily basis.
•Review and advise Medicare Supervisor of any and all changes in Medicare regulations or requirements and any issues related to Medicare billing.
•Input data regarding checkwrite information on a daily basis.
•Balance journals periodically.
•Ensure compliance of guidelines provided by Government related agencies and Corporate policies.
•Must be able to pass Quality Assurance audit with an accuracy rate of 95% or better.
•Effective information systems security is a team effort involving the participation and support of every AMR employee who deals with information and/or information systems. It is the responsibility of every computer user to:
oKnow and follow Information Systems security policies and procedures
oAttend Information Systems security training, when offered
oReport information systems security problems


PHYSICAL REQUIREMENTS:

Occasionally: Walking inside, carrying no greater than 25 pounds, kneeling, stooping, bending, leaning.
Frequently: Hearing/listening, clear speech, touching, typing.
Constantly: Sitting, standing, seeing.

MENTAL REQUIREMENTS:

Occasionally: Analyzing, simple math skills, judgment, decision making.
Frequently: Simple writing.
Constantly: Simple reading, clerical.

STRESS FACTORS:

Occasionally: Repetitive tasks, high pressure.
Frequently: Intense tasks.

EQUIPMENT USED:

Occasionally: Digital paging terminal, facsimile, calculator, copy machine, stapler, 3 hole punch, stamping, sharpener, switchboard, printers.
Frequently: Computer/typewriter, keyboard, telephone.

WORKING ENVIRONMENT:

Occasionally: Works with others, extended day.
Frequently: Works alone, face-to-face contact with others.
Constantly: Works around others, verbal contact with others, inside.
REQUIREMENTS
MINIMUM QUALIFICATIONS:

High school diploma or GED. Minimum of 18 years of age. Minimum of one year prior office work experience. General working knowledge of PCs and/or patient accounting computer systems. Demonstrated ability to use Microsoft Windows applications such as Word and Excel. Must type 45 wpm and ten key by touch. Working knowledge of medical terminology and ICD-9 coding. Effective oral, written and interpersonal communication skills. Able to perform duties within tight time constraints and handle large volumes of work. Able to work cooperatively in a team atmosphere. Prior work experience performing Medicare billing, follow-up, and knowledge of Medicare terminology are preferred. College courses in psychology, communications, business and/or health services is also preferred. Working knowledge of Part B Medicare and/or familiarity with Medicare ambulance billing guidelines are also preferred.


AMR Cares about employees. We offer competitive TOTAL REWARDS compensation and comprehensive benefits package including:
Paid Time Off
Medical Plan
Prescription drug coverage
Dental
Vision
Life
Disability
Employee Assistance Program
401k WITH company match
Flexible Spending Account
TO APPLY:
E-mail your resume in Microsoft Word format, including salary requirements by clicking on "Apply Via Email" or fax to 209-236-8584.