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Out of Network A/R Rep

Posted: November 10, 2024
Salary:US$24.00 - US$28.00 per hour
Location:New Hyde Park
Job type: Permanent
Discipline:AlliedRevenue Cycle
Reference:236467_1731282020
Work Location:On-site

Job description

Are you ready to give your career a boost by bringing your talents and expertise to some of the nation's top companies? At Medix, we are dedicated to creating opportunities for talent through our Healthcare, Scientific and Information Technology divisions. Our dedicated recruiters offer a personalized service to make sure we truly understand your employment needs.

HIRING: ACCOUNTS RECEIVABLE REPRESENTATIVE

Reponsibilities:

Claims Management:

  • Submit and follow up on out-of-network claims for timely payment.
  • Resolve claim denials by coordinating with insurers, patients, and departments.
  • Appeal underpaid claims with supporting documentation.

Account Reconciliation:

  • Reconcile payments and adjust patient accounts.
  • Monitor receivables and pursue outstanding balances.
  • Audit accounts to correct errors.

Communication:

  • Coordinate with insurers for coverage verification and authorizations.
  • Address patient billing inquiries clearly.
  • Collaborate with internal teams to improve reimbursement.

Documentation and Reporting:

  • Maintain detailed records of claims and payments.
  • Report on account statuses and collection activities.
  • Ensure billing compliance with regulations.

Requirements:

  • Minimum of 2 years of experience in medical billing and accounts receivable, specifically with out-of-network claims.

Schedule: Monday - Friday, 9am - 5pm

Benefits:

  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
  • Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
  • 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
  • Short Term Disability Insurance
  • Term Life Insurance Plan

Medix is acting as an Employment Agency in relation to this vacancy.