Collection Representative- King of Prussia
About The Position
The Collection Representative ensures timely and accurate completion of home infusion insurance billing, claim resubmissions, and cash collection through effective communication with patients, referral sources, and insurance carriers. The representative assists customer service representatives in qualifying new orders, resolves billing disputes, and initiates collection activity by telephone, letters, or other appropriate means when needed. The role verifies billing information, obtains details needed to prepare claims, posts payments, identifies credits and write-offs, and reviews denied payments and rejected claims for research and resubmission. Credits and write-offs require manager approval. The position is located at 3500 Horizon Drive, King of Prussia, Pennsylvania, and is listed for a workday 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.
- Communicate with payers, patients, family members, and healthcare professionals to obtain information for claim preparation.
- 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 collection activity 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
- 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
- Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
