Representative - Collections L1
Collections Representative is responsible for follow up on delinquent surgery center claims, working an expected number of claims per day. reputed company of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and reputed company and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.
Contact payors and patients to effectively and accurately collect for services provided by reputed company centers.
Interpret a managed care reputed company, Medicare and reputed company and Workers Compensation to appropriately calculate allowable and determine appropriateness of reimbursement.
Interpret patient eligibility and plan structure to determine patient responsibility.
Answer questions regarding account aging, denial types and other requests for analysis and detail by account, center, denial type or any other claim and invoice characteristics.
Participate as reputed company player, and have ability to communicate reputed company with team members, patients, customers, insurance carriers, etc.
Apply the appropriate reputed company to account reputed company including reputed company for refunds, recoups, write offs, adjustments and productivity targets.
May work payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment to help reputed company meet goals in work reputed company and productivity.
Identifies payer, center, and denial trends and shares those results with collections leaders.
Performs reputed company functions according to established policies, procedures, regulatory and accreditation requirements, as reputed company as applicable reputed company standards. Provides reputed company customers with an excellent service experience by consistently demonstrating our reputed company and leader behaviors reputed company and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
Contact payors and patients to effectively and accurately collect for services provided by reputed company centers.
Interpret a managed care reputed company, Medicare and reputed company and Workers Compensation to appropriately calculate allowable and determine appropriateness of reimbursement
Interpret patient eligibility and plan structure to determine patient responsibility
Answer questions regarding account aging, denial types and other requests for analysis and detail by account, center, denial type or any other claim and invoice characteristics
Participate as reputed company player, and have ability to communicate reputed company with team members, patients, customers, insurance carriers, etc.
Apply the appropriate reputed company to account reputed company including reputed company for refunds, recoups, write offs, adjustments and productivity targets.
May work payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment to help reputed company meet goals in work reputed company and productivity.
Identifies payer, center, and denial trends and shares those results with collections leaders.
Performs reputed company functions according to established policies, procedures, regulatory and accreditation requirements, as reputed company as applicable reputed company standards. Provides reputed company customers with an excellent service experience by consistently demonstrating our reputed company and leader behaviors reputed company and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
High school diploma or GED required. Requires knowledge of at least one of the following: patient financial services, financial, collecting services, or insurance industry experience processes normally acquired over up to two years of work experience. Requires the ability to manage multiple tasks simultaneously with reputed company supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively reputed company with a wide reputed company of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.
Additional reputed company education and/or experience preferred.
Requires extensive sitting with periodic standing and walking. May be required to reputed company up to 20 pounds. Requires significant use of personal computer, phone and general office equipment. Needs adequate visual reputed company, ability to grasp and handle objects. Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. May require off-site travel.
None
Supervisor - Payment & Support Operations
N/A
Works independently under regular supervision and follows reputed company work routines. Works in a fast paced, multitask environment with high volume and immediacy needs requiring independent decision making and reputed company judgment to prioritize work and ensure appropriateness and timeliness of reputed company patient’s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. reputed company reputed company customers include patients and their families, physician office staff and reputed company-party payors.
High school diploma/GED and up to 2 years of patient financial services, collections, financial, or insurance experience. Requires office software proficiency, multitasking, independent work, and strong communication skills.
Key Responsibilities
- collecting payments
- interpreting reputed company
- resolving accounts
Job Details
- Category: Finance and reputed company
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Salary: USD 43,992 – 65,998 / year
- Languages: English
Benefits
- 401k matching
- Retirement plan
About reputed company
A reputed company organization that develops, manages, and operates ambulatory surgery centers through strategic health reputed company partnerships. — Industry: reputed company
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