Insurance Collections Specialist

Description:
? Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution.
? Maintains active communications with insurance carriers and third-party carriers until account is paid.
? Negotiates payment of current and past due accounts by direct telephone and written correspondence.
? Updates patient account information.
? Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
? Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
? Manage all assigned worklist on a daily basis for assigned insurances.
? Utilize collection techniques to resolve accounts according to company?s policies and procedures.
? Report any coding related denial to the Coding Specialist.
? Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
? Conducts necessary research to ensure proper reimbursement of claims.
? Assist with special projects assigned by Billing Manager or Supervisor.

Requirements: ? High school diploma or GED equivalent. ? At least 2 years? experience in insurance collections. ? Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS). ? Knowledge with letters of appeal. ? Intermediate experience with Microsoft Excel and Office products is required. ? Experience with HMO, PPO, and Medicare insurances. ? Must be able to read, interpret, and apply regulations, policies and procedures.

Benefits:
? 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
? Discretionary profit-sharing contributions of up to 4%
? Health insurance
? Employer contributions to HSAs and HRAs
? Dental insurance
? Vision insurance
? Flexible spending accounts
? Voluntary life insurance
? Voluntary disability insurance
? Accident insurance
? Hospital indemnity insurance
? Critical illness insurance
? Identity theft insurance
? Legal insurance
? Paid time off
? Discounts at local fitness clubs
? Discounts at AT&T
? Tickets at Work discounts

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