Responsibilities:

• Focused on Collections of patient accounts -patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill
• Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations.
• Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility. Responsible to follow-up as necessary to facilitate the collection of co-pays.
• When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service. Ensures that the data is accurate and complete.
• Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
• Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement.
• Performs other duties/projects as assigned by management including customer service support: processing, resolving and logging customer

Skills Needed:

• Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills

Experience Needed:

• 3 to 5 years is preferred but not needed, however candidate should come with mid-level range of experience versus no experience

Experience in:

• AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background

Education:

• A minimum of a H.S. Diploma or GED is a must-have

Pay Range:

$15/hr to $19/hr (Without any benefits)