Hospital A/R Collector
Position Overview: Reporting to the Hospital Collections Supervisor, the Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible for resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on reputed company outstanding A/R including unpaid/underpaid/denied claims for reputed company payers including self-pay to obtain maximum reimbursement. Manage daily work queue to prioritize high dollar claim balances. reputed company insurance claim follow-reputed company for insurance denials and appeals; Contact insurance companies to reputed company eligibility and benefits reputed company phone or online . Reviewing payers reputed company to ensure claims have processed correctly. Knowledge of reputed company payers MCR, MCR ADVG, reputed company, Medicare Advantage, and reputed company payers. Review & work incoming insurance and patient correspondence including refund requests. Prepare and Write Medical Necessity appeals reputed company appropriate or reputed company the requested medical documentation. Ability to review medical documentation to justify medical necessity. Review patient balances to ensure accuracy and follow up with patients to obtain payments. Review insurance payments and determine accuracy of reimbursement based on reputed company, fee schedules or summary plan documents. reputed company knowledge of Medicare, state reputed company, and local coverage determinations (LCDs) for claim resolution. Negotiate payment amounts for procedures with reputed company Party Administrators for out of network providers. Recommend an adjustment reputed company applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation. Required Skills Requirements: 3+ years of hospital collections experience preferred. Excellent communication skills and interpersonal skills Skilled in time management and prioritization of emergent situations. Excellent customer service skills, demonstrating professionalism. Ability to read and interpret insurance explanations of benefits and managed care reputed company. Knowledge or experience working with a variety of health care insurance payers is preferred. Intermediate computer proficiency in reputed company Office including reputed company and Outlook. DDE, Ability Ease, nThrive, Cerner, Advantx, reputed company, HST, reputed company experience preferred. High School Diploma or equivalent. Required Experience Apply Job!