This is not a remote position!
Responsibilities:
-Complete timely and accurate follow-up with third-party payer for outstanding accounts receivables
· Research claim rejections and denials
· Ability to prioritize workload and identify key projects that will result in reduction of outstanding accounts receivable
· Willing to call third-party payers concerning claim rejections, denials, and payment inconsistencies. Accurately documenting all relevant actions for audit and tracking. Taking appropriate steps towards claim resolution
· Ability to organize and maintain appropriate schedules for follow-up calls with third-party payer for claim resolution
· Ability to create and file appeals as appropriate
· Develop expertise and payer-specific knowledge on all aspects of medical claim collections
· Identify and report collection trends and/or issues resulting in delayed claim adjudication
· Interpret explanation of benefits for accuracy and correct payer adjudication
· Willing to collaborate with team members concerning payer payments and denial trends
· Excellent communication and a team-oriented mentality. Ability to function with other collection specialists to create collective team advancements
· Collaborate with the RCM management team to implement collection strategies and achieving department goals
· Ability to assist with special projects regarding collections with the RCM management team
- Contact individuals to negotiate payment arrangements for outstanding debts
- Utilize coding and account analysis to determine appropriate collection strategies
- Conduct telemarketing activities to reach out to debtors and discuss payment options
- Utilize knowledge of ICD-10, medical billing, and revenue cycle management to effectively communicate with healthcare providers and insurance companies
- Utilize accounting software to track and update collection efforts
- Perform mathematical calculations to determine payment amounts, interest, and fees
- Maintain accurate records of all collection activities
- Provide exceptional customer service while adhering to company policies and procedures
Skills:
- Strong negotiation skills to effectively communicate with debtors and reach payment agreements
- Knowledge of medical terminology and billing processes to navigate healthcare collections
- Proficient in using accounting software for tracking and updating collection efforts
- Excellent communication skills, both verbal and written, to interact with debtors, healthcare providers, and insurance companies
- Strong attention to detail and accuracy in coding, account analysis, and record keeping
- Ability to work independently and prioritize tasks in a fast-paced environment
Note: Prior experience as a Collection Agent or in a similar role is preferred.
Please submit your resume highlighting relevant experience and skills. Only qualified candidates will be contacted for an interview.
Job Type: Part-time
Pay: $19.00 - $20.00 per hour
Weekly day range:
- Weekends only
Work Location: In person