• Medical Claims Follow-Up Representative

    Atrius Health (Chelmsford, MA)


    Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

     

    *SUMMARY*

     

    Under general supervision, is responsible for the follow up and resolution of denied medical billing claims for assigned payer(s). In accordance with department policies and procedures, responsibilities include but are not limited to: responding to payer correspondence, contacting payers for claim status, submitting appeals for denied claims including administrative denials for health plan eligibility and referral and authorization denials and reviewing claims to add appropriate claim administrative information prior to claim submission.

    EDUCATION/LICENSES/CERTIFICATIONS

    * High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

    EXPERIENCE

    * At least 1 year of physician medical billing, health plan administration or related physician office position required.

    * Completion of a medical billing certification program and internship is considered as work experience

    SKILLS

    * Knowledge of the medical billing process and claim forms, fundamental knowledge of HCPCS, ICD10 and CPT coding required.

    * Knowledge and experience with medical terminology, health plan products and administrative processes, strong computer skills, and good verbal and written communication skills are necessary.

    * Attention to detail and the flexibility in adapting to changes in policies, regulations and procedures are essential.

     

    Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

     

    *_Benefits Include:_*

    * Up to 8% company retirement contribution,

    * Generous Paid Time Off

    * 10 paid holidays,

    * Paid professional development,

    * Generous health and welfare benefit package.

    **Job:** **Accounting/Billing/Finance*

    **Organization:** **Finance*

    **Title:** *Medical Claims Follow-Up Representative*

    **Location:** *Chelmsford MA - Apollo Dr.*

    **Requisition ID:** *125539*