Billing Follow-Up Representative

Posted 12 Days Ago
Be an Early Applicant
Ridgewood, NY
In-Office
20-24 Hourly
Mid level
Healthtech
The Role
Contact payers to verify and follow up on unpaid claims, process appeals, reconcile accounts, resolve billing edits and denials, audit EOBs, ensure correct CPT/ICD-10 coding, handle inbound/outbound patient and payer calls, and maintain timely resubmission of corrected claims.
Summary Generated by Built In

Title: Billing Follow-Up Representative
Pay Range: $20-$24 per hour, based on experience
Employment Type: Full-Time, Hourly
Location: 16-70 Weirfield St, Ridgewood, NY (In-Person)
Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off PTO, Weekly pay, 401k

 

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 and Workers' Compensation and No Fault 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 

  • Other duties as assigned

 

Qualifications:

  • Minimum of 2-3 years 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 Zoll Data Systems

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. 

Top Skills

Microsoft Office Suite,Zoll Data Systems,Cpt,Icd-10
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The Company
New York, NY
831 Employees
Year Founded: 2016

What We Do

DocGo is transforming healthcare with peerless innovation and on-the-ground care. Our mobile workforce of thousands of full-time traveling clinicians and our proprietary, AI-powered software leverages robust medical record integrations to drastically improve patient outcomes. In our tireless pursuit of high-quality, highly affordable healthcare for all, DocGo makes the impossible possible.

Website

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