Insurance Collections Specialist at Urgent Team

Urgent Team is looking for a Insurance Collections Specialist to join our growing Billing Department. This is a remote / WFH position open to candidates in Tennessee, Alabama, Mississippi, Georgia, and Arkansas.

JOB SUMMARY :

The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex EMR systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned physician receivables are appropriately addressed according to company and federal guidelines.

KEY RESPONSIBILIES :

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned.

• Effectively manages assigned insurance receivables to achieve business line expectations 40%
• Exceed productivity standards as outlined by business line
• Exceeds a minimum of 85% work quality scoring and accuracy on all accounts worked
• Completes timely follow-up on assigned accounts to ensure no cash loss
• Exceeds monthly cash expectations as set out for assigned client receivables
• Ensures insurance accounts are resolved within 90 days of placement
• Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
• Acts as a knowledge resource for team members
• Perform account research and route accounts through appropriate company workflows 30%
• High level understanding of company system functions
• Clearly documents actions taken and next steps for account resolution in patient accounting system
• Excellent working knowledge of system and displays clear understanding of claim updates, request workflow, and action step entry into the system
• Demonstrates advanced understanding of commercial and Medicaid payers
• Has knowledge of Medicare guidelines and is able to accurately perform corrections according to CMS guidelines
• Demonstrates advanced understanding of claim needs and ability to accurately perform needed billing activities (Evaluation / Correction of billing edits, claim     transmission, rejections, and other claim functions)
• Compiles appeals and approves appeal requests for team related to payment denials
• Reflects understanding of payer contract verbiage and the ability to negotiate payment utilizing contract terms
• Ensure strong communication skills to convey intricate account information
• Ensure all accounts are worked within company standards and Federal Regulations. 20%
• Maintain high quality account handling per company standards
• Work within federal, state regulations, department / division & all Compliance Policies
• Maintain clear, concise and accurate documentation of all attempts and / or contacts made and received for accounts in accordance with company and client specifications
• Maintain continuing education, training in industry career development. 5%
• Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act,       FCRA,  etc.
• Attend training sessions as directed by management
• Integrate information obtained through training sessions and policy changes immediately into daily routine
• Practice and adhere to the Code of Conduct, Mission and Valued Behaviors.

WHAT'S REQUIRED?

BENEFITS INCLUDE :

REMOTE WORK REQUIREMENTS :

Candidates must have a dedicated, private workspace free from distractions. Due to the sensitive nature of patient information, it is essential that the work environment ensures confidentiality and prevents unauthorized access. A quiet, secure setting is required to maintain privacy and comply with all relevant privacy regulations. In addition, candidates should have a reliable internet connection and be able to manage their time effectively to meet team goals.

INTERVIEW PROCESS :

ABOUT URGENT TEAM :

The Urgent Team Family of Urgent Care & Walk-in Centers, an “on-demand” healthcare company, was created to provide quality, affordable and, convenient walk-in medical and telemedicine service in suburban neighborhoods, rural towns, and mid-size cities across the Southeast.

All of our 80 centers are have achieved the Urgent Care Association Accreditation, the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organization’s overriding commitment to safety, quality and scope of services. Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities.

Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands : Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care.

Salary : $25 - $31