Description:
This department is in charge of turning around claims submitted in the billing process. Essentially, the PFS Analyst collects money from insurance companies. This is done by pulling up the claim, analyzing the account, determine why the claim is not paid, and take appropriate action to get it paid. This is a follow-up job. Analysts will use 5 different systems at a time including billing program, claims program, payer websites, Cerner, etc. This position is responsible for the timely and accurate resolution of accounts receivable for IU Health entities supported by Revenue Cycle System Services. MAIN FUNCTION: - provider enrollment - charge description master and fee schedule maintenance - claim submission - third party follow up - cash posting - denial appeal and recovery - audit defense and recovery - patient collections The softwares they will be using are GI Centricity, Cerner, SMS, IDX, Medicaid, Search America, and natigating through insurance websites. However, they will be trained on all of the software because most is unique to IU Health.
Skills:
Availity, Medical Billing, Collections, Medicare
Top Skills Details:
Availity,Medical Billing,Collections,Medicare
Additional Skills & Qualifications:
MUST HAVE: - collections or follow-up experience (they will be following-up to collect payments from insurers in this role) - 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductables and medical terminology, etc.) - Ability to navigate through multiple systems at once while on the computer PREFERRED: - 1+ year of billing experience where they handle some type of health insurance (do they understand copays and deductables and medical terminology, etc.) They have also had success with candidates who newly graduated from medical billing and coding schools who what some industry expereince. -Availty software experience would be a plus.
Experience Level:
Intermediate Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email [email protected]. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.