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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