Job Summary: Under the direction of the Supervisor, Central Business Office, the Medical Insurance Collector’s responsibility is to work accounts receivable to maximize reimbursement.
Essential Job Functions
- Works accounts receivable in assigned area to maximize reimbursement. Utilizes knowledge of PPO, HMO, and Government guidelines.
- Contacts various payers and patients to collect on outstanding accounts. Tracks and enters all calls for documentation, trending and reporting.
- Identifies patterns of insurance concerns that directly impact cash flow.
- Handles multiple insurance and patient incoming calls and responds to each call in an efficient, effective, and professional manner.
- Ascertains account information and makes necessary corrections in regards to the insurance data or patient’s registration.
- Maintains ongoing knowledge of third party billing requirements. Understands billing timeliness and urgency in meeting all claims and filing deadlines. Keeps current with knowledge of payer contracting agreements.
- Maintains daily work file, assigned reports and or special projects.
- Reviews and responds to Insurance and/or Patient correspondence timely.
- Reviews and responds to site correspondence timely.
- Reports to supervisor any concerns or discrepancies in a timely manner.
- Performs other duties as assigned.
Requirements
- High School diploma or GED required
- Must have 3 years of medical billing and collections experience.
- Medicare billing experience a plus.
- CPSI experience preferred.
- Microsoft Office knowledge preferred.
- Familiarity with medical terminology, coding (CPT/ICD9/HCPCS) and standard electronic billing format.
Benefits
- Paid holidays.
- Sick and vacation after waiting period
- Health, vision, and dental coverage
- Employer paid life insurance and long-term disability
- 401K
- Pay in Lieu of Benefits option offered
Specialists Hospital Shreveport is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Specialists Hospital Shreveport provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.