Accounts Receivable Collector FT

Millennium Surgical Center has an immediate need for a full time Accounts Receivable Collector to join the team!

Job Summary: Under the direction of the Business Office Manager, is responsible for covering any aspect of the business office necessary. Successful candidate will possess outstanding multi-tasking abilities, communication and teamwork as well as the ability to keep up in a fast paced working environment. The successful candidate should be able to demonstrate previous successful/positive customer service encounters or programs.

Duties and Responsibilities:

• Experience in Accounts Receivable (AR).

• PIP and Workmen's Compensation and 3rd party claims and accounts receivables as it relates to ASC/ Outpatient Services.

• Utilize accounting software systems and ERP solutions to manage accounts receivable and billing functions.

• Responsible for tracking and reviewing denial EOB's

• Responsible for following up on unpaid and denied claims on a weekly basis.

• Responsible to review A/R reports as it relates to open charges for non-payment including but not limited to: short payments, ineligibility, inaccurate diagnosis, inaccurate coding and no authorizations on a weekly basis.

• Responsible for communicating effectively any trends relating to failed activities/claims, claim denials, or process issues to the Collections Lead.

• Monitor customer credit accounts and take appropriate action to collect delinquent payments.

• Ability to manage Cash, process checks and manage cash activity to ensure accurate and timely financial transactions

• Knowledge of Billing Functions

• Will be responsible for reviewing claims in the electronic health record for accuracy as well as submission of claims electronically and via paper when required.

• Will monitor electronic claims to ensure successful transmission to clearinghouse

• Collaborate with other team members to ensure smooth financial operations

• Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.

• Special projects and other duties assigned as needed by management

Required Skills:

• High School Diploma or equivalency.

• 1-2 years of previous medical claims experience required.

• Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc.).

• Familiar with reading contracts and have the ability to apply those rules to an EOB and determine a follow up/resolution path.

• Familiar with grievance and appeals process.

• Ability to read an EOB.

• Must be able to communicate verbally and non-verbally in a professional way.

• Ability to use time wisely in preparing work area to meet high-paced demand.

• Show a genuine desire to work and improve the hospital as a whole.

• Must be able to multi-task.

• Strong medical terminology.

• Must demonstrate excellent phone etiquette and exceptional customer service skills.

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