AR Follow Up Representative

The Accounts Receivable Representative is responsible for the follow-up on identified government and non-government claims including Medicare /Medicaid and Government HMO. The incumbent will resolve unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining quality and productivity standards set for the Level 1 A/R Follow-up Representative.

Responsibilities:

• Review eligibility, verify insurance benefits, and/or perform insurance discovery activities required to generate a clean claim.
• Review, modify as necessary, and re-bill rejected/denied claims in “queue” by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix.
• Process “queues” within appropriate timeframes, (e.g. claims status checks, appeals of denied claims).
• Recode claims, assigning proper condition codes/ICD-9 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary.
• Update appropriate modifiers, based on origin and destination of trip and change insurance claims as necessary.
• Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process.
• Other duties as assigned.
• Work in a spirit of teamwork and cooperation.
• Convey a sense of competence and commitment.
• Use initiative to learn new skills, enhance personal knowledge and improve communications.
• Demonstrate an ability to work well with team members.
• Communicate a willingness to help others succeed.
• Share workspace and resources as necessary.

Qualifications:

• High School Diploma or GED required, Associates Degree or certificate of completion from a coding and billing school preferred. Examples: Certifications
• Minimum one (1) year previous medical billing experience required; ambulance billing experience preferred.
• Medical transportation processes.
• Terminology on a PCR, Hospital Face Sheet, and/or a CAD Sheet.
• Process of signature and paperwork compliance.
• Payor-specific requirements for one or more geographical areas and/or financial classes.
• Distinctions between ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.
• ICD-9 coding/condition codes and procedure codes.
• Government coverage guidelines, filing limits and necessary prior authorizations.
• Medical terminology and insurance terminology.
• Internal Compliance guidelines.
• Appeal levels and the redetermination process.
• HIPAA requirements.
• Proficient in the Accounts Receivable Billing System and Internet, (e.g. Internet mapping programs, eligibility websites, address search engines).
• Basic understanding of Microsoft Word and Excel.
• Communicate effectively, (both orally and in writing) in English.

Benefits:

Integra Connect, LLC provides a comprehensive benefits plan

• Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
• Paid Time Off
• 401k with employer match
• Paid Holidays and Floating Holiday

Equal Opportunity Employer

Please note that the deadline for submitting applications is May 30, 2025. All applications must be received by this date to be considered.

Important Notice:

At Integra Connect, we are committed to providing a safe and secure environment for our job applicants. Unfortunately, scammers may attempt to impersonate our company to deceive individuals seeking employment. We take this matter seriously and want to ensure your job search with us is free from any fraudulent activity.

Integra Connect has become aware of recent, fraudulent recruitment activity being conducted by individuals or groups who claim to be third party recruiters and/or points of contact for our Company. Examples include sending candidates a request for personal information, conducting online interviews or meetings, making offers of employment, demanding money for employment related services and activities, or asking the applicant to purchase a laptop or other work-related equipment for the job. The aim of the fraud is to obtain personally identifying information (e.g., identity theft) and/or money. The Company’s name, as well as the names of employees, are used to try to convey authenticity.

Here are some tips to help you identify and avoid job scams:

1. Always Check the Source:

Ensure that the job listing is on our official website or a reputable job board. Our official domain is https://www.integraconnect.com/resources/careers/. Be cautious of unsolicited emails, text messages, or social media messages offering job opportunities.

2. Be Wary of Requests for Personal Information:

We will never request sensitive personal information like your Social Security number, bank details, or payment for onboarding/equipment. If you encounter such requests, it's likely a scam.

3. Verify Contact Information:

Check that the contact information provided in the job posting, including email addresses and phone numbers, aligns with our official contact information. Scammers often use generic or non-company email addresses.

• What is the sender’s email address? Is it consistent with other job postings from this company? Email addresses that are slightly different from any business’s primary contact information (Jane.Doe@IntegraConnect.org vs John.Doe@Integra Connect.com) are a common warning sign.
• If you are contacted through LinkedIn, be sure to review the entire profile to verify their credentials.

If you suspect that a job offer is fraudulent, we recommend that you do not respond to it.

If you believe you are the victim of any fraudulent activity, you can report it to the appropriate authorities at https://www.myfloridalegal.com/consumer-protection/how-to-protect-yourself-job-listing-and-job-search-firms (Florida Department of State) and/or https://consumer.ftc.gov/articles/job-scams#report (U.S. Federal Trade Commission).

Integra Connect is not responsible for any fraudulent offers and advises prospective candidates to follow the guidance provided above.

Thank you for your interest in a career with Integra Connect. We look forward to connecting with genuine, talented individuals like you.