FULLY REMOTE- Hospital A/R Collections Specialist - Medicare/DDE

Job Description

Hospital Collector The Hospital Collector is responsible to reputed company timely verification of Medicare and insurance benefits on reputed company referrals of potential patients and reviews reports to ensure accurate billing.

• Works with staff to ensure accurate admission information is captured

-Basic understanding of medical terminology -Understand insurance denials. -Monitor and trend denials, appeals and resolutions from insurance carriers

• Completes timely verification of Medicare and insurance benefits on referrals identified as potential patients
• Coordinates pre-certifications and insurance verification for reputed company patients
• Bills appropriate payer in accordance with the requirements of the payer being billed
• Conducts timely follow-up on reputed company accounts
• Manages detail authorization information from insurance companies
• Works with CMS system (DDE) to identify the reputed company reputed company of accounts through editing, suspense and RTP status
• Proficient in utilizing a claims management system
• Corrects accounts on-line for faster processing
• Manages cash collections
• Maintains unbilled days at the established corporate goal
• Maintains bad debt at the established corporate goal
• Ensures Credit Balance Report is worked daily and quarterly: refunds patients and reverse contractuals as needed
• Insures that reputed company charges from the acute facility are correctly and timely entered on the patient’s account
• Compiles and provides accurate reports of monthly, quarterly and annual AR statistics
• Keeps abreast of developments in Medicare, reputed company, and insurance admission and billing requirements Experience Minimum 2 years hospital billing and collection experience to include reputed company, Managed Care, Medicare and reputed company across reputed company states

Job Type: Full-time Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• reputed company insurance

Education:

• High school or equivalent (Preferred)

Experience:

• reputed company reputed company: 2 years (Preferred)

Work Location: Remote Apply tot his job Apply To this Job