Ambulatory Follow Up Representative

Location: Lewisville, TX (Hybrid - Onsite Wednesday and Thursday)

Duration: 6 months (Potential for conversion after assignment)

Overview: We are seeking a skilled Medical Billing Specialist to join our team. The ideal candidate will have extensive experience with EMR/Billing systems, provider billing in a hospital setting, and strong technology skills. This role requires a detail-oriented individual capable of managing claim statuses, resolving rejections or denials, and collaborating with internal teams to ensure compliance with payer requirements.

Key Responsibilities:

• Utilize GMPS system daily (antiquated system).
• Handle provider billing in a hospital setting.
• Monitor and track claim statuses, promptly identifying and resolving rejections or denials.
• Conduct regular follow-ups with insurance companies to check on claim statuses and resolve outstanding issues.
• Review and appeal denied claims, adhering to deadlines and requirements.
• Maintain updated knowledge of insurance regulations, billing guidelines, and coding updates.
• Collaborate with internal teams to address billing discrepancies and ensure compliance with payer requirements.
• Generate and analyze reports related to billing and collections, identifying trends and areas for improvement.

Hybrid Work Arrangement:

• Strong preference for onsite work two days weekly at our Lewisville, TX service center (Wednesday and Thursday).
• If performance expectations are not met, onsite attendance will be required until metrics are achieved (duration may vary).

Schedule: Mon-Fri 8am-4:30pm