Insurance Collector at Ankle and Foot Centers of Georgia LLC
Peachtree City, Georgia, United States -
Full Time


Start Date

Immediate

Expiry Date

29 Jul, 26

Salary

0.0

Posted On

30 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Epic Care, Navicure, Claims processing, Medical billing, Insurance verification, Medicare guidelines, CPT coding, ICD-10 coding, Procedural modifiers, Account reconciliation, Denial management, Communication, Documentation, Refund processing

Industry

Hospitals and Health Care

Description
Description Responsibilities and Duties Responsible for reviewing, correcting, and releasing Epic Care charges. Demonstrate strong understanding and utilization of Navicure clearinghouse claims tool and Navicure rejection queue. Responsible for researching, correcting, and releasing accounts within AFF AFC Claim Edit Billing Work queue. Demonstrate comprehension and implementation of claim appeal process. Possess knowledge of insurance, especially Medicare, rules and guidelines. Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances. Review assigned accounts within the AFF AFC Follow up and Catch All WQs ensuring outstanding, pending, partially paid, and denied claims are paid in a timely manner. Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment. Accurately file confidential correspondence and documentation. Review, research, and process refund requests as needed. Demonstrate knowledge of CPT, ICD 10, and procedural modifiers. Consult supervisor, team members, and appropriate resources to solve billing and collection questions and issues. Any other duties determined appropriate by management.
Responsibilities
The Insurance Collector is responsible for reviewing, correcting, and releasing medical charges while managing claim edits and follow-ups. They must communicate with providers, patients, and insurance representatives to ensure timely payment of outstanding and denied claims.
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