Billing Follow Up Representative

Title:  Billing Follow-Up Representative

Location: DocGo HQ, 685 3rd Ave. New York, NY 10017

Employment Type: Full time, Hourly

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k

Pay Rate: $19.00-$24.00 per hour

About DocGo

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.

Responsibilities:

• Contact payers to verify claim status via phone or web and follow up on unpaid claims.

• Process appeals on aged insurance claims/denials.

• Ability to analyze, identify and resolve issues which may cause payer payment delays.

• Identify and resolve claim edits through understanding of billing guidelines and payer requirements.

• Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate.

• Interpret terms for Managed Care, Commercial, Medicare, Medicaid when applicable.

• Review all EOBs for correct payment, deductible, adjustments, and denials.

• Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment.

• Reconcile account balances, and verify payments are applied correctly.

• Maintain well aged accounts, promptly resolve and resubmit denied unpaid claims in a timely and efficient manner.

• Follow up on appeals/corrected submitted claims.

• Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding.

• Review and audit customer service account inquiries.

• Receive inbound/outbound customer service calls,
  provide excellent customer service to all patients, Insurances & Facilities.

• Review and correct all rejections in clearing house.

• Follow-up with Self-Pay patients to resolve any account issues that may exist 

• Other duties as assigned

Requirements:

• Minimum of 2-3 years billing follow-up experience with a high-volume practice or clinic, ambulance experience preferred.

• Excellent organizational skills and the ability to multitask in a fast-paced environment.

• Analytical - collects and researches data; uses intuition and experience to complement data.

• Excellent Follow-up skills including appeals/reconsiderations.

• Familiarity with Microsoft Office Suite.

• Working knowledge of AthenaOne.

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position.