POSITION SUMMARY

Performs follow-up insurance billing and collection activities on a minimum of 30 claims per day; makes collection calls, verifying accuracy and completeness of claims, contacts insurance companies and collection agencies in regard to expediting payments from various payers for physician’s services.

EDUCATION:

High school diploma or equivalent high school certification or combination of education and/or experience.

WORK EXPERIENCE:

Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)

SKILLS:

Not Applicable

EDUCATION:

No additional education beyond what is stated in the Required Qualifications section.

WORK EXPERIENCE:

No additional work experience beyond what is stated in the Required Qualifications section.

SKILLS:

Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Telephone System

• Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims.
• Makes collection calls to insurance companies and patients to ensure timely payment of claims.
• Reviews remittance advises for rejection and accuracy of payment amounts.
• Verifies accuracy and completeness of charge tickets, monitors attachments for claims to obtain maximum reimbursement.
• Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
• Responds to questions and requests from insurance companies.
• Supports customer service unit in answering billing and collection questions.
• Acts as back-up support for Accounts Receivable staff during peak times, vacations/illnesses.
• Assists with training of co-workers.