Insurance Collections Specialist

Duties and Responsibilities:

Under the supervision of the Business Office Manager or Director of Business Operations, the Collector/Payment Analyst is responsible for the financial success of the facility in regards to revenue cycle management.

The employee should have a full understanding of each of the processes to maximize reimbursement.

• Must possess knowledge of insurance contracts and breakdown of payments to ensure correct payments.

• Actively participates in achieving the monthly collection goals

• Contacts carriers within 25 days to verify claim status and resubmission of claims as necessary

• Contacts patient's as necessary to discuss financial responsibility

• Turns over un-collectable accounts within 90 days

• Knowledgeable of appeal/denial logs and process correspondence accordingly

• Utilizes adjustment and refund journals in accordance with established guidelines

• Knowledge of payment posting and processing of appeals and refunds

• Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved

• Account management is performed according to facility benchmarks and guidelines

Qualifications:

• Minimum of 2 years of experience in collection activities within a healthcare environment. (Applicants without this experience will not be considered)

• Demonstrated computers skills in utilizing work processing, integrated database, and understanding of mathematical calculations and medical terminology

• Ability to use office machines (copiers, fax machines, and scanners), and telephone systems

• Proficiency using and knowledge of Microsoft Office, and patient accounting systems.

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.