Job Description

Job Description

Job Description

Salary:

We're looking for an experienced collector. The Collections Specialist will be responsible for performing typical collection functions such as claim status, working the A/R, filing corrected claims, filing appeals as needed and posting payments.

Responsibilities:

• Review data on insurance policies to ensure accurate claim processing and payment.
  
• Ensure that any corrected claims are submitted in a timely manner.
  
• Prepare materials for submission to insurance companies as requested.
• Ensure that open claims are followed up timely.
• Create and submit status reports on a weekly basis.
• Develop and submit appeals, including necessary supporting documentation, as required for claims reimbursement.
• Reprocess any underpaid claims.
  
• Maintain confidentiality of patient care and business.
• Demonstrate strong, professional communication and interpersonal skills with clients, public, managers and co-workers.
• Perform general office duties as needed.
• Maintain accurate and thorough records.
• Demonstrate the ability to act as a team player in a professional and positive manner.

QUALIFICATIONS:

THE FOLLOWING QUALIFICATIONS ARE A PLUS BUT NOT REQUIRED - WILLING TO TRAIN THE RIGHT PERSON!!!

• 2-3+ years experience and knowledge of medical claims. Self-starter with strong billing, coding, and claims follow-up skills.
• Behavioral health / mental health service line and billing experience preferred
• Experience communicating with payers to resolve issues.
• Proficient with Excel and data analysis
• Ability to navigate occasionally complex workflows.
• Strong attention to detail.
• Technically savvy with claims billing software and Microsoft Office, KIPU OR other EMR systems with a desire to learn new software as well.
• Strong communication and interpersonal skills.
• Experience with CollaborateMD a plus!!!!

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