Insurance Collector

Ankle and Foot Centers of Georgia LLC•Peachtree City, GA

3d•Onsite

About The Position

SUMMARY/OBJECTIVE The Insurance Collector is responsible for contacting insurance companies to negotiate denials and appeal claims that have been denied from office visits and clinical procedures. All employees are expected to exhibit professional, ethical and respectful behavior in accordance with the company’s mission, vision and values.

Requirements

High School diploma or equivalent
Two to three years of experience in the healthcare industry

Nice To Haves

Medical Billing or Coding Certification
Two to three years of experience in medical billing/coding

Responsibilities

Responsible for reviewing, correcting and releasing Epic Care charges
Demonstrate strong understanding and utilization of Navicure clearinghouse claims tool and Navicure rejection queue
Responsible for researching, correcting and releasing accounts within AFF AFC Claim Edit Billing Work queue
Demonstrate comprehension and implementation of claim appeal process
Knowledge of insurance processes and Medicare rules and guidelines
Identify insurance company or proper party (patient) to be billed secondary or tertiary insurances
Communicate with health care providers, patients, insurance claim representatives and other parties to facilitate payment
Accurately file confidential correspondence and documentation
Review, research and process refund requests as needed
Demonstrate knowledge of CPT, ICD 10 and procedural modifiers
Consult with supervisor, team members and appropriate resources to solve billing and collection questions and issues
Comply with the Health Insurance Portability and Accountability Act (HIPAA) in protecting patient privacy
Additional job related duties or projects as needed