Job Title: Collector, Professional Billing
100 % on - site, will become Hybrid after 3 months. 3 days in home 2 in the office.
Duration of Assignment: Possible full time hire after 6 months.
Work hours: Day TBD (most of the collectors work from 0600 - 1430)
Dress code: Casual
Minimum of 4 years of experience in profee billing with PPOs and HMOs
Profee billing with PPOs (Preferred Provider Organizations) and HMOs (Health Maintenance Organizations) refers to the process of billing for professional services rendered by healthcare providers to patients who are members of these types of insurance plans.
Strong communication skills, both written and oral, with comprehensive knowledge of applicable collection laws, policies, and principles governing collection efforts, as well as expertise in problem identification and resolution, insurance, medical terminology, and reimbursement procedures
High School Diploma
The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. Must demonstrate a positive demeanor, good verbal and written skills, and must be professional in both appearance and approach. .