AR Follow Up Specialist I
About The Position
Join our team as a AR Follow Up Specialist I at our Administration South in Toppenish, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families. Visit our website at www.yvfwc.com to learn more about our organization. Position Highlights: $19.76-$24.21/hour DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You’ll Do: Prepare and process insurance claims timely and accurately to government, commercial, and managed care payers. Evaluate third-party payments to ensure accuracy relative to contract language (underpayment/overpayment) Compile and file all information needed to appeal denials. Enter appropriate account notes in the Epic billing system to clarify actions taken to reconcile accounts. Evaluate the payment status of outstanding third-party claims and resolve any impediments to payment by providing information such as appropriate medical records, detailed itemization of charges, information regarding other insurance benefits, and explanation of charges. Resolve payer denials using payor portals or other third-party sites. Verify eligibility for coverage via multiple payor websites. Assure compliance with billing requirements for workers' compensation and third-party liability claims. Uphold Medicare, Medicaid, ADA, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. Maintain confidentiality of all patient demographics and medical and financial information at all times. Mains Epic Follow Up Work queues to department daily standard. Maintains awareness of payer process changes and shares information with the team so billing guides remain current and accurate. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Requirements
- High School diploma or General Education Diploma (GED).
- Minimum six months experience in healthcare billing.
- Knowledge of accounts receivable processes required
- Strong attention to detail and accuracy.
- Maintain consistent performance and attendance standards
- Effective verbal, written, and listening communication skills are essential.
Nice To Haves
- FQHC Billing or Coding Experience is preferred.
- Epic system experience is preferred.
- Certified Revenue Cycle Representative (CRCR) preferred
- Strong customer relations skills preferred
Responsibilities
- Prepare and process insurance claims timely and accurately to government, commercial, and managed care payers.
- Evaluate third-party payments to ensure accuracy relative to contract language (underpayment/overpayment)
- Compile and file all information needed to appeal denials.
- Enter appropriate account notes in the Epic billing system to clarify actions taken to reconcile accounts.
- Evaluate the payment status of outstanding third-party claims and resolve any impediments to payment by providing information such as appropriate medical records, detailed itemization of charges, information regarding other insurance benefits, and explanation of charges.
- Resolve payer denials using payor portals or other third-party sites.
- Verify eligibility for coverage via multiple payor websites.
- Assure compliance with billing requirements for workers' compensation and third-party liability claims.
- Uphold Medicare, Medicaid, ADA, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
- Maintain confidentiality of all patient demographics and medical and financial information at all times.
- Mains Epic Follow Up Work queues to department daily standard.
- Maintains awareness of payer process changes and shares information with the team so billing guides remain current and accurate.
- Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.
Benefits
- 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine
- Profit sharing & 403(b) retirement plan available
- Generous PTO, 8 paid holidays, and much more!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
