AR / Collection Rep

Essential Functions:

• Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites.
• Identify issues or trending and provide suggestions for resolution.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications.  Initiate telephone or letter contact to patients to obtain additional information as needed.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
• Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.

Minimum Education/ Licensures/Qualifications

• HS/Diploma GED equivalent
• 6mo- 1+ years of Healthcare Insurance Collections
• Must have strong AR follow up experience
• Follow Up service is designed to increase Revenue Collection for Hospitals and Physician offices.  The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies.  Depending on the transmission type and length of time since submission we begin our follow-up:

Electronic Claims:  Follow-Up begins 10+ days after submission

Paper/HCFA Claims:   Follow-Up begins 20-45 days after submission

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
• Monday-Friday must be available from 8:00AM to 5:00PM hour shift.