Company Name 1
ADVANCED CLINICIAN MULTISPECIALTY CLINICAL CONSULTANT SERVICES PLLC
Job Title
Medical Billing Specialist / AR Representative
Job Description
• Accounts Receivables follow up on claim’s status which were over 30 days
• Working on denials for multiple Tax ID’s
• Send documents like Medical Records/Explanation of Benefits to insurance companies for
appeals purposes
• Posting of claim payments and adjustments
• Updating member’s information to Net Health software
• Tools used: Wound Expert, Insurance Portals like: Availity, Superior Health, UHC portal,
ECHO, Payspan, Medicare and Medicaid portals
Company Name 2
Genesis Healthcare Solutions
Job Title
Medical Biller / Accounts Receivables Specialist
Job Description
• Calling insurance companies to check on claim’s status / AR Follow ups
• Billing claims to insurance/payors
• Sending out documents like Medical Records/Explanation of Benefits to payers
• Reviewing patient bills for accuracy & completeness and obtaining any missing information
• Rebilling claims to Medical Groups and Independent Physician Association
• Updating member’s information such as demographics, charts, billings, etc
• Tools used: XIFIN, Insurance Portals like: Availity, LACARE, United Healthcare Medicare and Medicaid portals