• Insurance Follow-Up Representative in Scottsdale, AZ

    Requisition ID
    Employment Type
    Regular Full-Time
  • More Information about this Job

    *$1,000 Sign-On Bonus



    The Accounts Receivable Specialist – Level 1 is responsible for the follow-up on all insurance claims, including resolving unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining required quality and productivity standards.


    Duties and Responsibilities:

        • Review, modify, and re-bill rejected/denied claims by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
        • Process Acccounts Receivable items in queues within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
        • Recode private pay, commercial insurance and HMO claims, assign proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
        • Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
        • Ensure that charges are billable to a particular commercial payor, based on the payor’s criteria, as needed.
        • Resolve payment issues with carriers, (e.g. denials, partial payments, etc).
        • Appeal claims as necessary.
        • Process incoming correspondence, including signature letters, denials and additional information necessary to release the claim.
        • Forward credit card payments to Cash Posting as required.
        • Review the Level of Service to be billed, including but not limited to, designating Advanced Life Support (ALS), Basic Life Support (BLS),
        • Wheelchair, or Specialty Care Transport (SCT)/Critical Care Transport (CCT).

     Knowledge and Skills (not required but helpful)    

        • ICD-9/ICD-10 coding/condition codes and procedure codes
        • HIPAA Requirements
        • Flexible with shifting daily priorities
        • Meet deadlines working within tight time constraints
        • Handle a large volume of work and/or phone calls
        • Prioritize workflow
        • Process clean claims for one or more geographical areas and/or financial classes
        • Meet or exceed and sustain all established standards for productivity and quality

    Minimum Qualifications: Education/Licensing/Certification:  

      • High School Diploma or GED required


    •  Minimum one (1) year previous medical insurance follow-up or related office work experience required.  Ambulance billing experience a plus.

    Company offers

    • Medical, Dental and Vision Care
    • Life Insurance
    • Short-Term and Long-Term Disability
    • Employee Assistance Program
    • 401(k) Retirement Plan with a Company Match
    • Paid Time Off
    • Holiday Pay
    • Employee Discount Programs  


    EEO Statement

    Global Medical Response and its family of companies including American Medical Response is an Equal Opportunity Employer including Veterans and Disabled


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