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MedTrust Medical Transport AR Department Lead in Charleston Hanahan, South Carolina

Job Description

Prepared/Revised Date::10/10/2021

Job Title: AR Department Lead

Reports To : AR Supervisor

Department: Billing

Location: Hanahan, *consideration for remote

FLSA Code: Non-Exempt Supervisory Responsibilities: No


Job Summary

TheTeam Leadwill coordinate billing and collections activities to assure that standards are adhered to and that the electronic claim filing process functions efficiently and accurately. This position will assist the Supervisor of Accounts Receivable in all areas as needed; including training, questions from staff, billing and follow up.

Essential Duties/Responsibilities

  • Manage and maintain the billing and collection process

  • Provide ongoing training and education to billing staff to ensure that policies and procedures are followed

  • Will meet with the Supervisor of AR regularly to effectively communicate and resolve billing issues, set and prioritize goals, improve processes and review insurance and billing status

  • Assist with staff communication, providing updates, resolving issues, setting goals and maintaining standards

  • Perform quality assurance reviews monthly

  • Retrieve and maintain electronic filing and edit reports

  • Research and correct claim submission reports

  • Assist with training of department personnel in their specified areas

  • Answers incoming calls from insurance companies/patients requesting additional information and/or checking status of billings

  • Call insurances or patients to verify insurance information and other necessary required information needed for billing

  • Pre-Billing/Data Entry- Verify and enter patient demographics, personal insurance information and completion of all required signatures found within the trip ticket

  • Knowledgeable to be able to review the PCR (patient care report) for insurance information, medical necessity, and other pertinent information as related to billing

  • Request Physician Certification Statements (PCS), prior authorization or other necessary forms for payers as needed

  • Understand ambulance billing and compliance in order to efficiently bill and follow-up on claims

  • Knowledge of ICD-10 and HCPCS codes, as well as associated modifiers

  • Identify recurring denials and make necessary system changes, make recommendations and/or provide appropriate training to team members

  • Demonstrates excellent communication skills when communicating with patients, payer’s, facilities and co-workers

  • Completes special assignments and projects with minimal supervision and consistently meets the department’s performance, production and quality standards

  • Processes correspondence with adherence to the Health Insurance Portability and Accountability Act (HIPAA) guidelines

  • Other duties as assigned by management

Experience

  • High School Diploma or equivalent

  • Two years of medical billing experience, ambulance preferred

  • Must be computer literate

  • Skilled in data entry

  • Ability to type a minimum of 45 wpm

  • Must have knowledge of medical terminology

  • Excellent interpersonal and customer service skills

  • Ability to communicate, both orally and in writing, in a professional manner when dealing with employees and management

  • Ability to work independently of direct supervision

  • Well organized and detail oriented

  • Display a willingness to work as a team player

  • Ability to handle multiple tasks and to prioritize their importance

Degrees, Licensure, and/or Certification

High School Diploma or equivalent

Ambulance/Medical billing certification or diploma, preferred

Essential Physical Job Functions

Frequent use of computer, fax, printer

Ability to lift 5-10lbs

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