The responsibilities of this job include, but are not limited to the following :

• Conducting outreach to employers, insurance companies, Third-Party Administrators (TPAs), and patients via telephone and email to determine the status of claims and invoices and the steps necessary to complete for reimbursement;
• Conducting research into accounts with remaining balances and taking the necessary actions to achieve resolution;
• Re-filing or re-invoicing the appropriate responsible party for the amounts owed;
• Ensuring courteous and professional communication with all parties;
• Documenting efforts accurately and following up to ensure outstanding accounts are worked to completion and in a timely manner;
• Communicating effectively with the employer, insurance company, and TPA to understand the reasons for past due balances and identify solutions to prevent accounts from reaching this status;
• Working within OH to ensure information gathered is properly updated onto Industrial Client (IC) accounts as appropriate;
• Ensuring all Health Insurance Portability and Accountability Act (HIPAA) issues are addressed immediately and proper notifications are made to appropriate parties;
• Processing credit card payments while ensuring all compliance protocols are followed;
• Ensuring all productivity goals including the number of calls made and accounts worked daily are achieved on a consistent basis;
• Communicating trends or issues to the OH AR Supervisor;
• Performing other duties as assigned;
• Operating, using, and maintaining office equipment as trained.

Minimum education and professional requirements include, but are not limited to, the following :

• Employee must be 18 years of age or older;
• High school graduate or equivalent;
• Experience working in outbound call center preferred;
• Knowledge of AR, OH Services, and WC preferred;
• Excellent verbal and written communication skills required;
• Ability to prioritize and multitask;
• Self-starter with the ability to work independently and achieve productivity goals;
• Computer skills required, including Microsoft Office applications (e.g., Excel, Word);
• Basic math and analytical / problem solving skills;
• Must be able to sit for long periods of time (4 to 7 hours at a time).

Last updated : 2024-05-14