What are the responsibilities and job description for the Specialist-Collections II position at Veterans in Healthcare?
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Specialist-Collections II
Location: Spartanburg, South Carolina, United States
undefined: Home Office
undefined: Business Services
undefined: Days
Job ID: P-102132
undefined: 012
widget: Full Time
undefined: 8:00am - 4:30pm
Description
Job Requirements Position Summary The Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. This position is responsible for timely and accurate claims follow up and payer corrections to meet and exceed our departmental cash collection and AR goals. Minimum Requirements Education
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Specialist-Collections II
Location: Spartanburg, South Carolina, United States
undefined: Home Office
undefined: Business Services
undefined: Days
Job ID: P-102132
undefined: 012
widget: Full Time
undefined: 8:00am - 4:30pm
Description
Job Requirements Position Summary The Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. This position is responsible for timely and accurate claims follow up and payer corrections to meet and exceed our departmental cash collection and AR goals. Minimum Requirements Education
- Highs School Diploma or equivalent
- 3 years medical office or medical billing/collections experience in a hospital or centralized billing setting.
- Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes.
- Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
- Be familiar with multiple payer requirements for claims processing
- Solid skills with Microsoft office with a focus on Excel and Word.
- Good Communication Skills
- N/A
- Associates degree
- 4 years’ experience in a centralized billing setting.
- Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.
- Experience with multiple specialty billing, collections, and denials
- Collections of all outstanding claims by direct payer contact, utilization of payer websites, and EDI/Claims system
- Research and resolve all payments issues/errors for insurance balances
- Responsible to complete all error corrections and insurance updates to the facility/professional claim to resolve issues preventing payment
- Ability to obtain insurance eligibility and benefit information from payers via phone, RTE, or web for proper claims filing
- Review smart edits and payer rejections and perform all necessary rework for reimbursement of services
- Must possess the ability to work in different systems including claims eligibility, online payer claims system, as well as all AR management systems
- Escalating non-denial payer issues, including review of outstanding AR greater than 90 days, and sharing details with payers and management
- Work closely with multiple departments to obtain necessary information to resolve outstanding AR
- Update and verify insurance records as needed to correct outstanding accounts
- Responsible for ensuring claim has been received and is processing with payer within the timely filing period as defined by departmental goals and insurance guidelines
- Ability to present trends and issues to payers during monthly provider calls
- Gather information from payers to submit payment research requests when payment is not posted to an account
- Produce reports and data in Excel as needed
- Must have working knowledge of registration, payment posting, error correction and other billing functions
- Exhibit professionalism and good customer service skills
- Ability to maintain confidentiality and handle sensitive information
- Responsible for responding to emails within 24/48-hour turnaround time from receipt
- Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
- Other duties as assigned.
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Join a dynamic team as a Denial Management Specialist, where your expertise in medical billing and denial resolution will drive success. Utilize your strong communication skills and coding knowledge to manage denials and appeals effectively in a fully remote environment.
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Life at Company
While you put your talent and heart into patient care, we ensure that you have the support you need for a healthy career and future.
At Spartanburg Regional Healthcare System, we offer the training and coaching you need to succeed and opportunities to grow in your profession.
Whether you're a seasoned professional or a new grad, we've created a solid foundation to ensure you will succeed with us.
Share the opportunity
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