High school or equivalent (Preferred)
Epic: 1 year (Preferred)
eClinicalWorks: 1 year (Preferred)
**THIS IS NOT A REMOTE POSITION**
The Medcor Group, Inc. is seeking AR Reps of all experience levels to join our rapidly expanding team. We are hiring 4 positions in the next month as part of our most recent business expansion. Join our team of 70+ highly qualified, diverse, and fantastic billers as we serve Federally Qualified Health Centers (FQHCs) throughout the United States.
We encourage all experience levels to apply. Currently looking to staff Medical Billers and AR Reps
Job Description – Medical Biller (AR Representative)
Updated: Dec 08, 2021
Subject: Medical Biller (AR Rep) Job Description
Reports To: Billing Supervisor
AR Representative will ensure the timely receipt of claim payments and minimizes bad debt accrual. AR Representative will also be responsible for keeping up with department and billing standards. This position is responsible for processing a variety of payers such as Medi-Cal, CHDP, Medicare, HMO’s, and private insurances. Additional duties include follow-up on unpaid claims within 30 days of claim submission.
Functions and Responsibilities:
Qualifications and Key Competencies:
Essential Duties and Responsibilities:
1. Responsible for the following insurance carriers, including but not limited to:
2. Commercial FFS, CHDP, CDP
3. All Managed Care entities including LA Care, Cal Optima, IEHP etc.
4. Medicare, Medi-Cal
6. Champ VA
7. Trailblazers, Railroad Medicare
8. Reviewing aged insurance report
9. Works aged insurance AR
10. Working rejections/denials
11. Answering patient phone calls
12. Other assignments as directed by billing supervisor.
13. Adhere to highest standards of professionalism and compassion in providing billing assistance to all Medcor client patients
14. Regular and reliable attendance
15. Maintain Fraud and Abuse, HIPAA and PHI compliance requirements
16. Participate in daily team huddles and other meetings, as applicable
17. Other duties as assigned
1. Knowledge of healthcare revenue cycle
2. Knowledge of CPT and ICD-9/10 coding
3. Knowledge of insurance companies and their rules and allowables
4. Knowledge of medical, insurance collections and insurance terminology
5. Knowledge of HIPAA and other applicable state/federal requirements
6. Knowledge of applicable state collection laws
Equal Employment Opportunity
The MEDCOR Group, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
About The Medcor Group, Inc.
The MEDCOR Group, Inc., a.k.a. MEDCOR Revenue Services, provides a full range of medical billing services for FQHC and CHC entities on a national basis. We are a CHC-centric RCM company that is unmatched in managed care and we understand the unique and complex issues associated with FQHC/CHC clinics. MEDCOR is a second generation owned medical billing company that was originally founded in 1988. All of our work is performed in the United States.
Our executive team has post graduate degrees in healthcare, finance and public administration and are recognized leaders in the medical community.
Our mission is to provide you the provider with the maximum allowable consistent cash flow you are entitled for services rendered. We are business owners and understand the necessity of cash flow. We do this with state of the art cloud based and or client owned electronic medical records (EMR/EHR) or CCHIT certified medical billing platforms; in addition to highly trained, product specific billing staff with core competencies that are also certified.
MEDCOR is FQHC/CHC centric and a solution driven company, providing medical billing services (RCM) specifically targeting revenue cycle management issues.
Full comprehension of sliding scale, Medical and Dental services with managed care coding /split billing issues inclusive of Code 1, 2, 3, Code 11, 18, 19, 20, and its impact to revenue.
MEDCOR understands the unique difference of FQHC/CHC billing and is able to guide a practice through this convoluted system.
We have extensive expertise to identify billing IT integration problems, provide EMR billing platform setup solutions with corrective actions resulting in proper reimbursement.
EMR: Super User Expertise in AllScripts, NextGen, eClinicalWorks for FQHC, MicroMD, PracticeFusion and Kareo, Advanced MD for standard medical practices.
Note: MEDCOR is not a debt collection company nor in any way associated with any company purporting to provide bad debt collections.
Job Type: Full-time
Pay: $21.00 - $25.00 per hour
Job Type: Full-time
Pay: $21.00 - $25.00 per hour
social distancing, masks provided, and sanitation.
Work Location: One location