Specialist-Collections II (remote)

Job RequirementsPosition SummaryThe Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. This position is responsible for timely and accurate claims follow up and payer corrections to meet and exceed our departmental cash collection and AR goals.Minimum RequirementsEducationHigh School Diploma or equivalentExperience3+ years medical office or medical billing/collections experience in a hospital or centralized billing setting.Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes.Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.Be familiar with multiple payer requirements for claims processingSolid skills with Microsoft office with a focus on Excel and Word. Good Communication SkillsLicense/Registration/Certifications N/APreferred RequirementsPreferred EducationAssociates degreePreferred Experience4+ years’ experience in a centralized billing setting. Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.Experience with multiple specialty billing, collections, and denials Preferred License/Registration/CertificationsN/ACore Job ResponsibilitiesCollections of all outstanding claims by direct payer contact, utilization of payer websites, and EDI/Claims systemResearch and resolve all payments issues/errors for insurance balancesResponsible to complete all error corrections and insurance updates to the facility/professional claim to resolve issues preventing paymentAbility to obtain insurance eligibility and benefit information from payers via phone, RTE, or web for proper claims filingReview smart edits and payer rejections and perform all necessary rework for reimbursement of services Must possess the ability to work in different systems including claims eligibility, online payer claims system, as well as all AR management systemsEscalating non-denial payer issues, including review of outstanding AR greater than 90 days, and sharing details with payers and managementWork closely with multiple departments to obtain necessary information to resolve outstanding AR Update and verify insurance records as needed to correct outstanding accountsResponsible for ensuring claim has been received and is processing with payer within the timely filing period as defined by departmental goals and insurance guidelinesAbility to present trends and issues to payers during monthly provider callsGather information from payers to submit payment research requests when payment is not posted to an accountProduce reports and data in Excel as neededMust have working knowledge of registration, payment posting, error correction and other billing functionsExhibit professionalism and good customer service skillsAbility to maintain confidentiality and handle sensitive informationResponsible for responding to emails within 24/48-hour turnaround time from receiptResponsible for utilization of time and management of work processes to ensure organizational and departmental expectations are metOther duties as assigned.