Employment Spot

Job Description

After a training period and shadowing of Collection Specialists will perform the following tasks:
 Effective collections (50%):

• Researches any overdue account balance that is not paid or partially paid and follows up via mail, internet, or phone with the insurance carriers or customers for payments. 
• Reviews all denied claims and underpaid claims for appeal according to the payer guidelines. 
• Verifies payment information and processes adjustments for review by supervisor. 
• Complies with the Fair Debt Collector Practices Act (FDCPA

• Responds to customer inquiries regarding account status. 
• Researches customers' accounts thoroughly and documents appropriately. 
• Resolves discrepancies and prepares adjustments and refunds as necessary. 
• Coordinates with patient pay billing center. 

• Ensures that all information regarding collection activity is entered accurately into the billing system. 
• Brings problem account issues to the attention of the supervisor

• Timely resubmits claims as necessary and process refunds according to the refund policy.

Job Requirements

Education:  High School diploma or GED required.  Associates Degree or professional preferred.  
 
Experience:  1 year experience preferred in a medical billing/collections environment. Certified Medical Biller preferred.
 
Competencies:
Ø       Must be able to read, write, and perform simple mathematic calculations
Ø       Knowledge of funding guidelines, Medicare, Medicaid, private insurance, compliance, medical terminology, EOB/Procedure/ICD-9 Codes,
Ø       Communicate the English language effectively
Ø       Ability to work independently
Ø       Problem solving
Ø       Detailed oriented
Ø       Excellent organizational and time management skills.
Ø       Must be proficient and possess general office skills such as typing, filing, and faxing