ROLE AND RESPONSIBILITIES
⢠The Account Receivable Specialist Representative/Collector will work with the Finance Department Manager to collect appropriate reimbursement on assigned payer invoices.
⢠Duties include and are not limited to the review of assigned invoices to determine the best process to obtain maximum reimbursement for services by prioritizing and perform daily follow-up. Communicate well with payers both verbally and in writing.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
⢠High School Diploma or equivalent and additional specialized training in medical billing and/or collections
⢠Minimum of 2 years of medical collection experience
⢠Medical/Pharmacy terminology experience desired
⢠Explanation of Benefits (EOBās) experience
⢠Payer website experience desired
REQUIRED SKILLS
⢠Experience in reviewing aging reports
⢠Experience with denials and appeal procedures.
⢠Experience in the basic 1500 Form Billing Rules.
⢠Utilize Payor Portals via the internet for claim disposition
⢠Strong analytical and problem-solving skills
⢠Ability to quickly learn multiple software platforms (CPR+ & Office Ally)
⢠Excellent verbal and written communication skills
⢠Excellent listening skills
⢠Strong planning and organizational skills
⢠High quality work, organized with attention to detail
⢠Strong customer focus with the ability to problem solve to meet customer needs and expectations
ADDITIONAL NOTES
⢠Must be able work independently
⢠Must possess and maintain a āwhatever it takesā attitude and can stay on task
⢠Must be able to communicate with internal customers at all levels of management
⢠Must be able to work in Microsoft Word and Excel
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