What are the responsibilities and job description for the Collection Specialist position at Florida Physician Group Inc?
Job Description
Job Description
Florida Physician Group
Collection Specialist-FPG Corp Offices
7150 West 20th Ave # 615
Job Summary
Under the supervision of the Directors or designee, performs patient account follow-up, credit balance review and resolution, keeping the Physician Group accounts receivable as accurate as possible.
Schedule
Full-Time 8 : 30AM - 5 : 00PM
Monday through Friday
Duties and Responsibilities :
- Insurance follow-up, as assigned
- Contact insurance carriers regarding outstanding balances until resolution
- Resubmit claims with the appropriate remarks and / or attachments as needed
- File insurance reconsideration letter for payment and / or denial disputes
- Validate accounts for accurate payments, discounts, and contractual adjustments
- Reply to insurance carrier correspondence as appropriate
- Run insurance eligibility and correct claim before resubmission as needed
- Pull supporting documents for annual regulatory audits, as needed
- Ensure credit balance and refund requests are reviewed and resolved timely
- Answer in-coming calls resolving patient and / or insurance issues timely
- Assist with other duties as assigned, within skill sets and abilities
Education
High School graduate or equivalent
Certified coder degree or certificate
Experience
Minimum 2-year Medicare, Medicaid, Commercial, HMO, PPO, and Workers Compensation billing and / or
Insurance follow-up experience
Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement
Working knowledge of Managed Care contract language and interpretation