What are the responsibilities and job description for the Medical Insurance Collections position at EngageMED Inc?
Description
JOB SUMMARY:
The position assumes the responsibility of resolving outstanding balances due from insurance carriers, ensuring correct/maximum reimbursement using information available on the patient’s Explanation of Benefits, and may be called upon to post payments for specific payor types.
Supervisory Responsibilities:
None
Duties/Responsibilities:
- Account follow up using data from system reports and active task listing, obtain claim status. (via phone or internet) to resolve claims that are older than 45 days; record all activity on account in account notes. Use information obtained to proceed with resolution: appeal, re-submit, refund, etc.
- Maintain detailed knowledge of practice management and other computer software as it relates to job functions.
- Coordinate back-up paperwork requested by payor to issue payment on claim, physician letter, additional medical records documentation, visit / surgery note, etc.
- Responds to written and telephone inquiries from payors.
- Meets with manager regularly to discuss any trends in reimbursement, insurance and strategy.
Required Skills/Abilities:
- High School Diploma / GED required
- College Education/Trade School preferred
OTHER KEY SKILLS:
- Minimum of eighteen months experience working in a physician or hospital group billing department.
- Familiar with CPT and ICD10 coding.
- Comfortable using email and interacting with internet applications.
- Knowledge/ previous experience with practice management and word processing software.
- Knowledgeable of standard collection practices and abides by standards established by HIPAA and practice for confidentiality.
- Ability to establish and maintain good relationships with multiple audiences: insurance companies, physicians, clinical staff, and patients.
- Good analytical skills and an affinity for detail.
- Ability to read and analyze accounts receivable and payor reports to determine next task.
- Pleasant speaking voice and demeanor.
- Neat, professional appearance.
- Strong written and verbal skills.
Collections Representative
America's Car-Mart -
Little Rock, AR
Collections Representative
America's Car-Mart -
Sherwood, AR
Licensed Insurance Sales Agent (2895) - Direct Auto
Allstate Insurance -
Malvern, AR
