POSITION SUMMARY/RESPONSIBILITIES
The Insurance Collector III is responsible for performing insurance follow-up on denied patient accounts which includes reviewing payer websites and performing phone calls to establish payment or denial timelines. Contact the payer to review denied or appealed claims to secure payment. Independently interact with federal, state, third party payers, agencies and outside related vendors. Experience with payer contracts, appeals process and resolution. Experience with UB Billing forms preferred.
EDUCATION/EXPERIENCE

• 3-5 years of Physician or Hospital Billing/Collections Experience
• High School Diploma or equivalent is required
• Must have knowledge of Texas Medicaid, Medicare, Commercial insurance programs
• Researching and creating appeal letters for denied claims
• Maintain understanding of payer contracts, claims filing guidelines and fee schedules.
• Applies collections practices to maximize reimbursement according payer policies and/or state and federal guidelines
• Identifies denial trends and works with managers and/or directors of other revenue cycle departments to resolve claims issues.
• Flexible schedules with the opportunity of working hybrid remote schedule.