AR Follow Up Reps

Description

Day to day responsibilities:

Work out of EPIC work ques or an "ATB report" which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques)

Work high dollar accounts first, work down from there- organizing their report

They will sort by age of claims first and work accounts from oldest to newest

Go through the accounts to see what is paid, what is denied and then start working from there

Working denials

If they need a medical records request they will request it from medical records and then load it onto the provider portal

Reaching out to insurance companies to figure out why there are denied claims

Getting with the patients to update coordination of benefits

Anything that needs to be done to get claims paid

Need to analyze trends to see if there are constant reasons why something continues to get denied and work with manager on this so they can fix it moving forward

Metrics - 50+ accounts per day that they need to work (given the dollar amount, follow up reasons or denial reasons- so this could change if these are higher dollar may not work as many accounts in that day)

Will work in EPIC, payer portals, on base which is the scanning system, and Excel (they are looking for ATB -AGED TRIAL BALANCE feedback in that spreadsheet)

Work is usually divided by denial type - (examples: registration denial, authorization denial, etc)

HR JD–

Hospital Billing and Follow-up ensures the submission of timely and clean Inpatient/Outpatient claims to the various government/non-government payers and takes the appropriate action to resolve claim issues in order to accelerate cash collections.

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers.

Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System.

Keep abreast of payer-specific and government requirements and regulations.

Ensures claim information is complete and accurate in order to accelerate cash collections.

Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account.

Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers.

Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill.

Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments.

Submit corrected claims in the event that the original claim information has changed for various reasons.

Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc.

Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review.

Meet Billing productivity and quality requirements as developed by Leadership.

Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards.

Record or generate revenue by gathering and processing information that impacts the patient revenue process.

Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met.

Keep abreast of payer-specific and government requirements and regulations

Follow up on unprocessed or unpaid claims until a claims resolution is achieved

Generates letters to insurance or patients as needed in order to resolve unpaid claim issues.

Works on and maintains spreadsheets by sorting/adding pertinent data

Analyze information contained within the billing systems to make decisions on how to proceed with the account.

Work independently and has the ability to make decisions relative to individual work activities

Identify comments in the billing systems by using initials and using approved abbreviations for universal understanding

Keep documentation clear, concise, and to the point, while including enough information for a clear understanding of the work performed and actions needed

Create appropriate documentation, correspondence, emails, etc. and ensure that they are scanned to the proper account for accurate documentation

Read, understand, and explain benefits from all payers to coworkers, physicians, and patients

Make phone calls, use the internet, and send mail to payers for follow-up on unprocessed claims, incorrectly processed claims, or claims in question

Develop relationships with customers/patients/co-workers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction

Post accurate adjustments as appropriate per billing policies and procedures, payer explanation of benefits, and the management directive

Maintain work procedures pertinent to the job assignment

Accountable for individual work activities

Resolve questions that arise regarding correct charging and/or other concerns regarding services provided

Complete cross-training, as deemed necessary by management, to ensure efficient department operations

Report potential or identified problems with systems, payers, and processes to the manager in a timely manner.

Complete special project assignments in a timely fashion

Follows HIPAA guidelines in order to maintain strict confidentiality of all patient financial and hospital information at all times.

Perform other duties as assigned

Skills

Follow Up, appeals, denied claims, insurance, Facility Billing, Hospital Billing, EPIC, Excel, Payer Portals

Top Skills Details

Follow Up,appeals,denied claims,insurance

Additional Skills & Qualifications

Hospital billing experience is a plus

EPIC is a plus

Need strong excel experience

HS Diploma minimum requirement

Experience Level

Entry Level

This is a Contract to Hire position based out of Chesapeake, VA.

The pay range for this position is $20.00 - $22.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Chesapeake,VA.

This position is anticipated to close on Jun 5, 2026.

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.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.