Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee.

Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 400 employees that serve over 100 clients. Our team has built long-term flourishing partnerships with clients and staff by cultivating a great experience.

PATHS, LLC is currently seeking a Physician Follow Up Representatives to join our team

Duties Include:

• Resolve billing discrepancies and denials/rejections promptly and efficiently
• Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client
• Follow-up with insurance companies via phone calls or payer portals on denials/payments
• Ability to find trends and able to research payer policies/guidelines to provide back to the management team
• Correcting and resubmitting claims
• Documentation and data entry
• Able to monitor accounts receivable follow up Work Queues/Reports
• Other duties as assigned

EDUCATION

High school diploma, secondary education preferred

REQUIREMENTS

• Minimum 1 year of medical billing follow up experience REQUIRED
• Knowledge of a CMS-1500 clam form for Physician Billing REQUIRED
• Familiarity with various insurance carriers and online portals
• Understanding of medical terminology including CPT and ICD-10 codes
• Ability to meet productivity goals
• Excellent interpersonal skills both written and verbal
• Working knowledge of Microsoft applications: Outlook, Word, and Excel
• Organized, detail oriented, strong problem solving, and research skills
• EPIC follow up experience – preferred
• A minimum high school diploma or GED is also required.