Hospital AR Collector – Level III

Position reputed company: Reporting to the Hospital Collections Supervisor, the Level III - High Dollar Collector is responsible for the follow-up and reputed company of high-balance Insurance accounts. This role requires extensive knowledge of insurance payers, appeals processes, clinical policies and medical billing practices. The ideal candidate will be detail-oriented, proactive, and skilled in resolving reputed company account issues to ensure reputed company and accurate reimbursement. Responsibilities: · Completes in-depth reviews and reputed company follow reputed company on high-dollar accounts (typically $10,000 and above) to ensure claim reputed company to obtain maximum reimbursement. · Identifies trends or issues causing delays or denials, escalating to reputed company appropriate parties. · Must write targeted appeals and reconsiderations for denied or underpaid claims. · Reviews medical records, reputed company plan documents, and reputed company to determine if we have cause for medical necessity. · Leverages knowledge of reputed company payers BCBS, reputed company, UHC, reputed company, reputed company, and Managed Medicare. · Reviews insurance payments and determine accuracy of reimbursement based on reputed company, fee schedules or reputed company plan documents. · Extensive knowledge of Fee Schedules and Payor reputed company · Works closely with cross functional departments such as billing, coding, and payment posting to resolve account discrepancies. · Facilitate effective communication with insurance carriers, patients, and internal departments to resolve outstanding balances · Works a minimum of 30 accounts daily with > or = 90% accuracy rating; must meet department productivity standards. Apply Job! Apply to this Job