Insurance AR Collector

PIEDMONT CANCER INSTITUTE PC•Atlanta, GA

8d•$26•Onsite

About The Position

The Collector is a goal-oriented, revenue-driven, highly accurate and motivated professional. Primary duties include but are not limited to consistently follow up on unpaid claims utilizing monthly aging reports, filing appeals when appropriate to obtain maximum reimbursement, establish and maintain strong relationships with providers, patients, and fellow staff. Secondary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information. The successful candidate will be flexible and be able to multi-task in a fast-paced, high-volume setting. Prior experience in a Healthcare/Managed Care environment is crucial for success in this role. This position is located at our Revenue Cycle Office in Atlanta and reports to the AR Supervisor.

Requirements

High School Diploma or GED required
2 years Medical Billing experience required
1 year of medical call center, customer service required
Ability to read, interpret and explain EOB's to patients and why they are responsible for the balance
Electronic Medical records experience is required, Centricity is preferred
Hands on knowledge of CPT and ICD codes
Excellent phone, communication, organizational skills, computer skills and mathematical skills
Ability to maintain patient confidentiality
Experience with Microsoft Excel and Word
Ability to represent the Department in a professional manner when interacting with patients, guests, physicians and their staff
Ability to handle service issues professionally
Ability to follow through with customers
Ability to communicate effectively to patients about their financial aspects of their care.
Ability to type proficiently
Ability to function effectively as extension of the Piedmont Cancer Institute
Be flexible and open-minded in thought processes
Maintain focus under pressure
Share relevant information with other employees
Volunteer to assist others when time permits
Ability to understand basic medical terminology
Ability to calculate deductible and co-insurance correctly
Ability to read and understand carrier Explanation of Benefits

Nice To Haves

Associate degree in Business Administration or related field preferred
CPAR – Certified Patient Account Representative preferred
Centricity is preferred

Responsibilities

Communicate daily with Team Leader/Billing and Collections Supervisor.
Provide excellent customer service in all interactions, such as when working with Patient Account Representative, patients, payors and center staff.
Work each account to its conclusion, including but not limited to reviewing and following up payment denials, contacting insurance carriers for payment resolution, filing appeals, submitting insurance claims to clearing house or individual insurance companies, retracting claims, and processing write offs/adjustments for non-payable charges according to payer contract.
Enter information necessary for insurance claims such as patient, insurance ID, diagnosis, treatment codes, modifiers, and provider information.
Ensure claim information is complete and accurate.
Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
Check insurance payments for accuracy and compliance with contract discount.
For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer.
Respond to inquiries from insurance companies, patients, and providers.
Assist the Patient Accounts Representative team in taking patient phone calls.