The Collection Specalist prepares and processes various insurance claims.
Verifies data by conferring with appropriate agency and/or external personnel on a daily basis
Responsibilities
Finance - Prepares and processes various insurance claims. Verifies data by conferring w ith appropriate agency and/or external personnel on a daily basis.
Finance - Creates and processes electronic claims submission for various payers on a daily basis.
Quality - Researches any error claims and makes necessary corrections for clean claim production and submission on an as needed basis.
Finance - Review s accounts receivable on a daily basis and performs follow -up on delinquent accounts according to established policies and procedures. Recommends departmental/agency corrective action as required.
Quality - Receives, investigates, and responds to inquiries from payors and/or agencies concerning accounts receivable activity according to established polices and procedures on a regular basis.
Quality - Maintains and develops accounts receivable schedules to track issues and resolutions for ease of reporting on a monthly basis.
People - Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
Quality - Problem solves independently before referring problems to the Supervisor/Manager for resolution.
Service - Performs similar, comparable, or related duties as may be required or assigned
Qualifications:
Education and Experience:
Formal Education: High School Diploma or equivalent
Experience: 1 year medical billing/collections experience
Home Health billing/collections experience
Excellent oral and w ritten communication
Excellent organizational and analytical
Basic PC skills including PC based applications (MS Word, Excel).
