CBO Collection Specialist

1.      Account follow-up with insurance companies; patients and their families to resolve outstanding balances.

2.      Identify insurance company or proper party to be billed; identify and bill secondary or tertiary insurances.

3.      Review insurance payments for accuracy and compliance with contract discounts.

4.      Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.

5.      Receives accounts approved for Retro, assists with Retro-pre-cert as needed

6.      Copies medical records as needed for payment of claim

7.      Follows up with phone calls to payer every 2 weeks until processed for payment

8.      Works up any registers, corrects denials, refiles, commenting and changing financial class

9.      Files adjustments, late charges to insurance as needed

10.  Refunds patient credit balance as needed

11.  Assists in pre-cert and verification of benefits when needed

12.  Assists co-workers with primary vs secondary insurance

13.  Cross train and back up billing as needed

14.  Answer questions pertaining to billings and insurance covering

15.  Facilitate relationships between the hospital and patients and patient families.

16.  Completes credit balance reports for Insurance plan as needed.

17.   Any other duties assigned as needed to help drive our Mission and abide by our organizations values.