Billing & Collections Account Representative - Femwell Group Health : Job Details

WHO WE ARE: Femwell Group Health was created in 1997 to help physicians run their practices more efficiently and be better equipped to care for their patients. We now support hundreds of physicians in the state of Florida—from Miami to Jacksonville—with services designed to manage and grow their practices. As a leading management services organization, Femwell focuses on operational health, so physicians can focus on their patients' health.

If you are looking to lead as part of an evolving business, Femwell is the right fit for you! To learn more about Femwell, we encourage you to visit our website at or follow us on LinkedIn at Femwell Group Health: My Company | LinkedIn.

The primary focus of this role is to provide insurance collections support to the Billing and Collections Clients.

*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by the position.

Essential Job Functions

• Liaison between Billing and Collections, Clients and IKS

• Oversight of revenue cycle and accounts receivable for multiple provider offices

• Review and complete tasks sent by IKS through the Optimix platform

• Approve/Deny appeals sent thru Optimix platform for accuracy

• Mail approved appeals from Optimix platform

• Generate appeals/reconsideration letters as needed to payers to resolve denials/underpayments

• Perform follow up activities on accounts to ensure prompt payment

• Monitor insurance claims denial and identifies denial trends

• Review Time Sensitive Documents and take appropriate action

• Provide Customer Service to the Billing and Collections Clients via email/phone calls

• Maintains open line of communication with Team and Manager

• Maintain compliance with HIPAA guidelines

• Perform all other duties as assigned or directed

Other Essential Tasks/Responsibilities/Abilities

• Knowledge of Commercial Insurance and Government Payor guidelines

• Understanding of insurance benefits and reimbursements

• Ability to comprehend various insurance documentation, analyze and reconcile accounts and follow detailed procedures in an efficient manner

• Knowledge of medical terminology

Education, Experience, Skills, and Requirements

• High school diploma /GED

• Highly organized and detail-oriented

• Experience working with Microsoft Office, specifically Excel, Outlook, and Word