Collection Specialist

Ridgeview Institute Smyrna • Smyrna, GA

6d • Onsite

About The Position

The Revenue Cycle Analyst is a multi-task position that covers all the main functions of the business office, which includes the following tasks; Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner.

Requirements

• Understanding of third-party payor rules and regulations
• Ability to read UB04 forms
• Able to read and understand an EOB
• Can take the necessary action for account resolution in accordance with established federal and state regulations
• Can verify benefits via online portal or over the phone
• Understand payor contracts and can verify the insurance company has paid correctly
• Ability to identify next steps required when a claim has been denied/rejected
• Excellent communication is needed to document accounts accurately
• Strong organizational and communication skills
• Strong ability to prioritize and efficiently manage time
• High School graduate or equivalent preferred
• A minimum of one (1) years’ experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment
• Experience with insurance billing
• Knowledge of Microsoft Office including word, excel, and outlook
• Competence in basic PC skills required to perform job functions
• Working knowledge of basic medical terminology

Nice To Haves

• Experience with computer and business software programs (Excel) preferred

Responsibilities

• Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner
• Submit account corrections and adjustments
• Denial management
• Payment variance management
• Appeal submissions when required
• Works with management to identify trends and address root causes of issues in the A/R
• Collaboration with other team members and departments
• Account resolution must occur within a timely manner

Benefits

• medical, dental, vision insurance benefits
• short term disability
• long term disability
• life insurance
• 401K match
• Generous PTO Package
• Six paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED