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.