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Insurance Follow-up and Collection Representative

Company: Bayhealth
Location: Dover
Posted on: May 16, 2022

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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