Insurance Collector I

Sarasota Memorial Health Care SystemSarasota, FL
Onsite

About The Position

Works with third party payers to ensure timely receipt, processing, and payment of outstanding accounts receivable by maintaining high productivity and quality standards. Problem solves pended, rejected, and partially denied claims. Responsible for keeping abreast and complying with all managed care contracts and third party relations for your designated payer/s. Tracks and trends escalated payer concerns. Handles all correspondence and communications in a professional and timely manner. Inputs data as required to comply with department specific quality assurance measures and for feedback to other departments and insurance companies. Contributes to departmental operations by performing other job duties as assigned. Performs appropriate account updates and notations for decisive interpretation by end users. Promotes stellar customer service in all dealings.

Requirements

  • Minimum of two (2) years of experience in a healthcare, insurance or customer service environment.
  • Bachelor’s degree can substitute for the required experience.

Nice To Haves

  • Two (2) years of experience working with Third Party Billing and Collections.
  • Ability to type a minimum of forty-five (45) words per minute.
  • Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).
  • Strong written and verbal communication skills, as they relate to customer interactions.
  • Demonstrated computer literacy with windows based programs.
  • Ability to communicate effectively and with a distinct speaking voice.
  • Ability to review and update both patient and insurance information in the computer system.
  • Ability to quickly resolve customer complaints.
  • Ability to read and understand insurance remittances, calculate patient responsibility and understands coordination of benefit rules.

Responsibilities

  • Ensure timely receipt, processing, and payment of outstanding accounts receivable.
  • Problem solve pended, rejected, and partially denied claims.
  • Keep abreast and comply with all managed care contracts and third party relations.
  • Track and trend escalated payer concerns.
  • Handle all correspondence and communications in a professional and timely manner.
  • Input data as required for quality assurance measures and feedback.
  • Perform appropriate account updates and notations.
  • Promote stellar customer service.
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