Job Description:

Duties:

• Handle and resolve all insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies.
• Serve as the liaison between insurance companies, patients and the departments.
• Ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages and cash goals.
• Demonstrates knowledge of government payers guidelines (Medicare/Medicaid).
• Responsible for processing appeals and researching of claims.
• Research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.
• Initiates contact with insurance carriers regarding status on claims.
• Maintains accurate and complete collection notes concerning collection activities on all accounts according to company procedures and requirements.
• Takes incoming calls from insurance carriers and patients.
• Ensures that all processing and reporting deadlines are consistently achieved.
• Maintain compliance with all company policies and procedures.

Basic Qualifications: 

• High school diploma or GED required 
• Associate degree preferred 
• Preferred years of experience - Level one representative 2 to 3, Level two representative 3 to 5 and Level three 5+. 
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. 
• Excellent computer proficiency (Office Suite – Word, Excel and Outlook) 

Pay Range : $20/hr - $26/hr