Insurance Follow-up and Collection Representative
Company: Bayhealth
Location: Dover
Posted on: May 16, 2022
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Job Description:
The Insurance Follow-Up and Collections Representative is
responsible for the follow up on all hospital and/or professional
insurance claims.# The position requires entry level knowledge of
all payer and claim types and the ability to prioritize work flow
to meet insurance company filing deadlines for claim submission,
claim reconsiderations and appeals and achieve targeted receivables
on a monthly basis and expedite cash flow.# Specific duties involve
researching unpaid claims, responding to insurance company
information requests, submitting reconsiderations for partially
paid claims, appealing denied claims and resolving payment
variances as encountered to facilitate timely patient billing.# #
Minimum Education and Experience: # # Minimum Preferred Education:
High School diploma or GED 1 year of college or technical school
coursework Experience: One year experience in medical billing and
collections, medical bad debt collections or intern/externship of
medical billing experience related to a certification program. One
year hospital billing or collections experience. Computer/Software
Knowledge: Experience with medical billing and claims editing
systems. Intermediate experience with Microsoft Word and Excel.
Experience with Epic and xClaim. Licensure/Certification # # #
Special Knowledge, Skills, and/or Abilities: Performs all areas of
job functions at a high accuracy rate. Knowledge of revenue-cycle,
managed care environment, 3rd party reimbursement, and hospital
financial resources. Position requires basic knowledge of
applicable Federal, State and commercial insurance regulations,
insurance plans, member eligibility and medical billing and
collections. Understanding medical billing claim forms. Exceptional
written, verbal and interpersonal communication skills; must
demonstrate ability to articulate information in a clear and
informative manner.# Ability to read and interpret documents such
as an Explanation of Benefits and/or Remittance Advice and properly
identify denials and patient responsibility amounts from
remittances required Detail oriented, strong problem solving and
analytical skills. Ability to multitask and use multiple
windows/programs at one time. Must be proficient in reading,
writing, and speaking English. Bilingual preferred. # #The
Insurance Follow-Up and Collections Representative is responsible
for the follow up on all hospital and/or professional insurance
claims. The position requires entry level knowledge of all payer
and claim types and the ability to prioritize work flow to meet
insurance company filing deadlines for claim submission, claim
reconsiderations and appeals and achieve targeted receivables on a
monthly basis and expedite cash flow. Specific duties involve
researching unpaid claims, responding to insurance company
information requests, submitting reconsiderations for partially
paid claims, appealing denied claims and resolving payment
variances as encountered to facilitate timely patient
billing.Minimum Education and
Experience:MinimumPreferredEducation:High School diploma or GED1
year of college or technical school courseworkExperience:One year
experience in medical billing and collections, medical bad debt
collections or intern/externship of medical billing experience
related to a certification program.One year hospital billing or
collections experience.Computer/Software Knowledge:Experience with
medical billing and claims editing systems.Intermediate experience
with Microsoft Word and Excel.Experience with Epic and
xClaim.Licensure/CertificationSpecial Knowledge, Skills, and/or
Abilities:* Performs all areas of job functions at a high accuracy
rate.* Knowledge of revenue-cycle, managed care environment, 3rd
party reimbursement, and hospital financial resources.* Position
requires basic knowledge of applicable Federal, State and
commercial insurance regulations, insurance plans, member
eligibility and medical billing and collections.* Understanding
medical billing claim forms.* Exceptional written, verbal and
interpersonal communication skills; must demonstrate ability to
articulate information in a clear and informative manner.* Ability
to read and interpret documents such as an Explanation of Benefits
and/or Remittance Advice and properly identify denials and patient
responsibility amounts from remittances required* Detail oriented,
strong problem solving and analytical skills.* Ability to multitask
and use multiple windows/programs at one time.* Must be proficient
in reading, writing, and speaking English.* Bilingual
preferred.
Keywords: Bayhealth, Wilmington , Insurance Follow-up and Collection Representative, Other , Dover, Delaware
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