What are the responsibilities and job description for the Biller/Collector I position at Iconma LLC?
Description :
Collector for professional, physician, and case rate billing.
We are looking for someone that may have Case rate billing experience, if not 3 years or more of collections experience with Professional billing
Position Summary :
To efficiently and collectively collect reimbursement for professional services rendered.
The Collector is in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution.
The Collector will work with minimal supervision from management to ensure the integrity of the work performed.
The Collector works in a team environment to fulfill the mission and goals of the Division.
Essential Functions :
- Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
- Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
- Ensures all conditions for payment receipt have been satisfied, which includes; but not limited to :
- Accurate charges
- Accurate financial class
- Authorization / certification / TAR informations
- Claims address
- ICD-9 coding, as applicable
- Patient insurance eligibility
- Patient benefit coverage
- Patient responsibilities
- CPT coding, as applicable
- Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties.
- Reports any trends in incoming correspondence to managers for appropriate follow-up.
- Interacts with co-workers and other representatives to obtain required information on a timely basis.
- Initiates contact with patient's as necessary
- Initiates recommendations and actions for resolving patient accounts.
- Evaluates accounts to determine any adjustments or charge corrections required.
- When required, submits bills to insurance for secondary insurance.
- Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.
- Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.
- Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.
- Clearly document within the patient's account, based on internal policies and procedures.
- Demonstrates teamwork and provides assistance with special projects when assigned.
- Maintains a positive image when dealing with department personnel and other Client employees.
Software :
Experience with on-line practice management system.
Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.).
Type 35 wpm required.
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
