Job Description
We're looking for an experienced collector. The Collections Specialist will be responsible for performing typical collection functions such as claim status, working the A/R, filing corrected claims, filing appeals as needed and posting payments.
Responsibilities:
- Review data on insurance policies to ensure accurate claim processing and payment.
- Ensure that any corrected claims are submitted in a timely manner.
- Prepare materials for submission to insurance companies as requested.
- Ensure that open claims are followed up timely.
- Create and submit status reports on a weekly basis.
- Develop and submit appeals, including necessary supporting documentation, as required for claims reimbursement.
- Reprocess any underpaid claims.
- Maintain confidentiality of patient care and business.
- Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers.
- Perform general office duties as needed.
- Maintain accurate and thorough records.
- Demonstrate the ability to act as a team player in a professional and positive manner.
QUALIFICATIONS:
THE FOLLOWING QUALIFICATIONS ARE A PLUS BUT NOT REQUIRED - WILLING TO TRAIN THE RIGHT PERSON!!!
- 2-3+ years experience and knowledge of medical claims. Self-starter with strong billing, coding, and claims follow-up skills.
- Behavioral health / mental health service line and billing experience preferred
- Experience communicating with payers to resolve issues.
- Proficient with Excel and data analysis
- Ability to navigate occasionally complex workflows.
- Strong attention to detail.
- Technically savvy with claims billing software and Microsoft Office, KIPU OR other EMR systems with a desire to learn new software as well.
- Strong communication and interpersonal skills.
- Experience with CollaborateMD a plus!!!!