Collection Representative- King of Prussia
About The Position
The Collection Representative ensures timely and accurate home infusion insurance billing, claim resubmissions, and cash collection through effective communication with patients, referral sources, and insurance carriers. The role also assists customer service representatives in qualifying new orders and resolves billing disputes, initiating collection efforts by telephone, letter, or other appropriate means when needed. Responsibilities include checking billing information for accuracy, obtaining information needed to prepare claims, communicating with payers and other stakeholders, posting payments, identifying credits and write-offs, processing approved credits and write-offs, and researching denied or rejected claims for possible resubmission. The position is based at 3500 Horizon Drive in King of Prussia, Pennsylvania, and works a day shift.
Requirements
- High school diploma or GED.
- Five years of experience in healthcare or insurance billing and collections.
- Familiarity with computer-based billing and collection systems.
- Strong organizational, verbal, and written communication skills.
- Excellent problem-solving skills.
- Ability to work independently.
Nice To Haves
- Some college is desirable.
Responsibilities
- Verify the accuracy of billing information received from customer service representatives and help obtain additional information needed before claims processing.
- Interface with payers, patients, family members, and healthcare professionals to obtain claim-preparation information.
- Post payments and identify credits and write-offs.
- Process credits and write-offs with manager approval.
- Review payment denials and claim rejections, research them, and resubmit claims where appropriate.
- Resolve billing disputes and, when needed, initiate collections through telephone contact, letters, or other means.
- Assist customer service representatives in qualifying new orders.
- Interact with co-workers, visitors, and other staff consistently with the Hospital’s core values.
Benefits
- Medical insurance, including prescription coverage
- Supplemental insurance
- Dental insurance
- Vision insurance
- Life and AD&D insurance
- Short- and long-term disability insurance
- Flexible spending accounts
- Retirement plans
- Tuition assistance
- Voluntary benefits, including access to group insurance rates and discounts
- Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
- Access to medical insurance, including prescription coverage, for all colleagues, including per diem colleagues, adjunct faculty, and Jeff Temps
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
