Collections Specialist

Description

RESPONSIBILITIES
 

• Must be able to do insurance and patient collections
• Post Payments/Denials/Co-Pays and Deductibles to patient accounts
• Review and Follow up on remittance advice for payment errors, denials and under payments
• Accurately interpret EOB and collections report
• Initiate charge entries and appeals when necessary
• Follow up on all claims from billing through final resolution
• Prepare/submit medical claims electronically (and when applicable by paper) to government, private pay and commercial insurance carriers
• Identify and resolve any claim delay issues that impact billing and collections
• Resolve credit balances and account issues
• Initiate and track appeals as necessary
• Resolve COB discrepancies
• Post cash and reconcile daily receipts
• Confirm patient insurance verification and eligibility
• Responsible for data entry of daily billing charges from multiple clinics
• Send electronic billing through clearinghouse
• Re-bill and appeal claim based on payer rejections and denials received
• Assist referral department as needed
• Review account status on the aging report. Contact patients directly to resolve overdue accounts
• Perform related tasks and assignments as necessary

Qualifications

• Minimum 3-year experience in medical billing/collections
• Must be familiar with PPO, HMO, and Medicare coding guidelines
• Must be familiar with surgical and procedural global periods
• Must be familiar with procedural, technical, and post op modifiers
• Working knowledge of billing software (Nextech software experience a plus)
• Reliable and Dedicated Work Ethic -- good attendance is a must
• Ability to work as an Integral part of a team
• Quick and accurate keyboarding skills
• Calm professional manner; self-motivated
• Proficiency in Microsoft Office (primarily Word and Excel) is required.