Insurance Collector

Empress Ambulance Service•City of Yonkers, NY

9d•$20 - $22•Onsite

About The Position

The Insurance Collector is responsible for submitting insurance claims, following up on outstanding claims, and resolving insurance denials in a timely manner. This role requires knowledge of insurance EOBs, various insurance carrier requirements, and the ability to appeal claims when necessary. The position also involves providing excellent customer service, generating daily/weekly/monthly reports, identifying insurance trends that impact cash collections, and completing departmental projects. Additionally, the Insurance Collector will provide general administrative and clerical support, including mail sorting, record maintenance, faxing, copying, and scanning. Collaboration with department managers and supervisors is key to improving processes and meeting departmental goals.

Requirements

High school diploma; Associate degree preferred.
Ambulance/medical billing certification or diploma preferred.
Working knowledge of ICD-10, CPT and HCPCS coding, NPI, HIPAA, Modifiers, EPCR’s and all forms of medical billing (direct, 3rd party, HMO’s, private pay, no-fault, worker’s comp, Medicare & Medicaid).
Excellent organizational skills and the ability to multi-task in a fast-paced environment.
Ability to review and research data, using intuition and experience to complement data.
Thorough knowledge of transport documentation (PCRs).
Ability to follow up on outstanding insurance claims.
Ability to submit appeals and overpayment requests.
Knowledge of Health Insurance Portability and Accountability Act (HIPAA) requirements and record retention compliance.
Excellent written and verbal communication skills.
Excellent documentation skills (promptness, accuracy, thoroughness, and legibility).
Knowledge of credit & collections procedures, payment plans/settlements.
Knowledge of customer service/client relations.

Nice To Haves

Working knowledge of EMS systems/private ambulance and medical transportation systems.
Knowledge of Waystar/Clearinghouse.
Knowledge of Microsoft Word, Microsoft Excel, and Microsoft Windows.
Familiarity with medical terminology.
Organizational and leadership abilities, detail-oriented.

Responsibilities

Submit insurance claims manually, via fax, and insurance portals.
Contact insurance carriers and follow up on outstanding claims.
Identify, complete, and resolve insurance denials in a timely manner.
Understand insurance EOBs layout/language and requirements for various insurance carriers.
Appeal insurance claims when required.
Ensure excellent customer service is provided when following up on outstanding claims.
Generate daily/weekly/monthly reports including Dept Overview, Productivity Reports, Posting Review Schedule, and Insurance Negotiations/Settlements.
Identify insurance trends that negatively impact cash collections and resolve issues or escalate to management.
Complete department projects as assigned.
Provide general administrative and clerical support (mail sorting, record maintenance, faxing, copying, scanning).
Work closely with department managers/supervisors to create improvements and implement processes to ensure departmental goals are met.