Reviewing system notes. Reviewing the claims in depth to understand the current state Use the payment calculator to obtain the expected reimbursement Take necessary steps like re-billing, taking adjustments, moving to the patient responsibility bucket, sending medical records to payers, or dropping claims to paper After analysis, if an account needs a calling effort, then a clear note is to be placed in Excel or the work assignment tool with a proper action code for the AR calling team to work Providing information to expedite claim processing Attaching appropriate documentation (i.e., OP note, invoice, etc.) Reviewing claims to ensure fields are complete and accurate Maintaining daily record of activities Using AR assignment through Excel or System to manage the daily accounts to be worked Prioritizing accounts based on high dollar amount and days in AR (some time based on escalation specified accounts would be given to work) Requirements A minimum of two years of AR experience or 4 years of payment posting experience High school diploma or equivalent Knowledge of commonly used medical coding and billing terms and concepts. Detail-oriented, strategic thinking, investigative skills Ability to work in a team-oriented environment
Nimble International
Nimble International specializes in providing customer support and IT services across various industries, focusing on agile implementations and tailored solutions.