Mission Statement and Core Values
Athletico’s sole purpose is to provide exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our core values of patient/client satisfaction, accountability, teamwork and continuous improvement, which are the foundation for our unique culture.
Position Summary
One of many functions of the Billing Center is to prepare and submit clean claims to insurance companies, workers comp carriers and patients. The role of the A/R Representative is to ensure outstanding claims and patient balances are paid. The A/R Representative typically researches, communicates, obtains and resubmits information in order to expedite reimbursement.
Essential Duties and Responsibilities
Running, managing and working assigned aged account receivable (a/r) reports
Ensuring claim accuracy via RealMed Clearinghouse
Tasking clinic to obtain missing information (i.e. claim number etc.) and resolving account challenges
Actively troubleshooting problem accounts in order to obtain reimbursement
Clearly understanding guidelines set forth by each assigned insurance company
Assisting the clinics with insurance coverage and verification of benefits when necessary
Contacting insurance carriers via website and phone regarding unpaid claims
Serving as a liaison with the patient and insurance company during claim appeal processes
Identifying and forwarding accounts with auto, IR or patient responsibility to the appropriate A/R Rep within the BC
Making necessary corrections/updates (“notes”) in NG system regardless of the carrier
Answering phones while exhibiting professional and courteous telephone etiquette
Attending all scheduled meetings
Assisting with BC Rotations
Maintaining a work schedule with up to 1 hour for lunch, while demonstrating flexibility when necessary
Performing other administrative duties and special projects as assigned
Education and Experience: The requirements listed below are representative of the knowledge, skill, and/or ability required.
Must have at least a high school diploma
Computer skills required
Be comfortable with high volume work load
Knowledge of NG or other Healthcare billing system
Must be team-player
Be comfortable with fast paced work environment
Ability to prioritize and multi-task
Be organized and self-directed
Knowledge of healthcare insurance coverage required
Knowledge of medical billing and collection processes within the industrial rehabilitation preferred
Prior medical collection experience preferred
Essential Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to consistently communicate a clear understanding of patients/clients expectations and adapt as appropriate to exceed their needs
Ability to focus attention on determining what can be done to make progress
Ability to develop personally and professionally
Ability to foster a sense of teamwork and cooperation while working with others
Ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and/or projects
Ability to motivate, develop, and mentor staff in order to optimize their performance
Ability to clearly organize and effectively convey information
Language Skills
Physical Demands: The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
While performing the duties of this job, the employee is regularly required to talk and hear
Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
Occasionally lift and/or move up to 20-25 pounds
Fine hand manipulation (keyboarding)
Requires the ability to perform duties for all work shifts
Travel required
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Internal office
The noise level in the work environment is usually low
Athletico is an Equal Opportunity Employer and does not discriminate on the basis of 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.
External Company URL: http://www.athletico.com/
Requisition ID: 2021-19148
Street: 600 Oakmont Lane
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