Insurance Collection Rep III

Resolves aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique.

Responsibilities

Resolves aged insurance accounts which have not been collected through billing and routine follow-up activities; Assesses payment probability to determine appropriate collection technique; Resolves unpaid insurance accounts which have not been paid or rejected within a predetermined period and are impeding the prompt resolution of Accounts Receivable; Contacts via correspondence, telephone or meeting with insurance representatives; Researches, identifies, and contributes to resolution if unable to resolve with third-party insurance; Collaborates with internal payer contracting department and/or files an appeal; Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements; Maintains a detailed knowledge of insurance regulations and billing procedures which affect Accounts Receivable, so as to rebill accounts correctly; Responds to written and verbal inquiries; Maintains records for effective reporting on both daily and weekly basis; Other duties as assigned

Requirements

Associate's degree and 2 years of hospital patient accounting or consumer collections experience required; Or equivalent combination of education and experience

Nice to have

Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) preferred