A / R Rep

A / R Rep Position

Baptist Health Medical Group is looking for an A / R Rep to join their team. This is a remote work position that requires residency in KY or IN.

Under the direction of the Medical Group's CBO Supervisors and Managers, the A / R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and / or administrative functions.

Essential Duties :

• Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
• Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
• Follows up on unpaid claims, identifies overpayments, and initiates refunds and adjustment process to ensure accurate and timely submission.
• Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Works closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
• Works Customer Service inquiries from patients and others to include written requests, emails, and / or answer phones.
• Works with all other revenue cycle departments and practices to resolve any outstanding encounters.
• Maintain productivity and quality standards as set by CBO leadership.
• Maintains an acceptable average "Quality Review" score as set by CBO quality and productivity policy.
• Maintains an acceptable productivity average of 90% or greater.
• Maintains working knowledge of payor policies applicable to assigned work group.
• Maintain billing / coding knowledge of assigned specialty and identify trends to report up to leadership.

Minimum Education, Experience, Training and Licensures Required :

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.