Position Summary:Responsible for achieving and maintaining reduction of AR days, growth in net collections, reduction in percent of AR greater than 120 days and an increase in cash collected. I.Position Responsibilities:Essential
- Account research by contacting and responding to request from billing vendor and payers for verification of patient claim status and/or demographic information.
- Prioritize workload based on aging reports, account balance, and priority accounts under the direction of management.
- Investigative skills. Pursues non-payment from third party payors until resolved.
- Strong knowledge of third party payor rules and guidelines, especially State Medicaid plans.
- Ensure all Protected Health Information is kept in a secure location at all times.
- Maintain a consistent processing and low error rate.
- Collects and forwards updates to billing vendor as needed to include removal of patients from collections, submission of insurance claims, and payments to be posted.
- Responds to RAI's from billing vendor and instructs on next steps.
- Resolve claim errors, demographic issues, duplicates, and no coverage errors in work queues.
- Perform other duties as assigned.
II.Essential Skills/Credentials/Experience/Education
- Experience insurance collections Medicaid, Managed Care, BCBS and Commercial accounts.
- Knowledge of billing procedures, health plans and claims processing.
- Strong organizational skills and attention to detail.
- Strong computer skills, proficient in Word, Excel, and Medical Billing Software (EPIC, Allscripts, McKesson, etc).
- A minimum of a High School Diploma or equivalent.
III.Preferred Skills/Credentials/Experience/Education
- Understanding of medical terminology to include knowledge of ICD-9 and CPT.
- Professional phone etiquette and excellent customer service skills.
- Preferred multi-state, multi-location billing experience.
- Strong computer skills, proficient in Word and Excel.
IV.Mental and Physical Demands (per ADA guidelines) Physical Demands:
- Sitting for long periods of time. Occupation requires this activity more than 66% of the time (2.6+ hrs/day)
Travel Demands:
- May require occasional travel to offsite meetings.
Hourly, Nonexempt Position Compensation: $20 - $23 per hour What We Offer - The Good Stuff:
- A mission based company with an amazing company culture.
- Paid time off & holidays so you can spend time with the people you love.
- Medical, dental, and vision insurance for you and your loved ones.
- Health Savings Account (with employer contribution) or Flexible Spending Account options.
- Employer Paid Basic Life and AD&D Insurance.
- Employer Paid Short- and Long-Term Disability.
- Optional Short Term Disability Buy-up plan.
- Paid Parental Leave (starting June 1, 2024)
- 401(k) Savings Plan, with ROTH option.
- Legal Plan.
- Identity Theft Services.
- Mental health support and resources.
- Employee Referral program - join our team, bring your friends, and get paid.