Insurance Collector Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. Reporting to the Patient Accounting Supervisor and Manager, this position will be responsible for all insurance follow up from various third party payors. The Insurance Specialist will assist the team in resolving patient accounts in order to get claims paid properly and quickly by working with the insurance company, thus reducing the outstanding accounts receivable for Cayuga Health System.' Roles and Responsibilities:
- Daily follow up on unpaid insurance accounts, including but not limited to, rejected/incorrect billings, unpaid/improperly paid claims, and denied claims
- Works all assigned accounts at least once every 15 to 30 days, depending on the balance and/or supervisor directive by contacting the third party payors via website, telephone or mail for claim payment status from assigned ATB
- Researches, identifies and rectifies any special circumstances affecting the resolution of the account
- Ability to identify trends within claim denials to quickly resolve multiple claim issues
- Update patient accounts in system with any action taken, additional information attained and next steps to claim resolution with clear and concise documentation
Required Skills and Experience:
- Education - Minimum of high school diploma/GED with 5 years' revenue cycle experience or
- Associates Degree with 2 years' revenue cycle experience
- Minimum of five (5) years' revenue cycle experience in an institutional setting.
- Medical terminology with working knowledge of ICD-10, CPT and HCPCS codes.
- Experience using Microsoft Office suite including Word and Excel.
Preferred Skills and Experience:
- Medicare and DDE experience a plus
- State of New York Medicaid experience a plus
Physical Requirements:
- Repetitive use of hands and fingers (i.e. use of computer keyboard). May require use of lifting and carrying light loads (up to 10 pounds). Sitting or standing/walking for long periods of time.
Location and Travel Requirements:
- Onsite - Schuyler Hospital
Compensation Disclosure:
- $18.50 to $24.00 per hour
Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at .