Sr. Collections Representative

Quest Diagnostics•Irving, TX

3d•Remote

About The Position

This role is responsible for managing Third - Party AR by analyzing denied and un-responded claims. The representative will make outbound calls to insurance carriers to appeal and check claims status, and coordinate with insurance carriers to reconcile/resolve any issues. The position requires maintaining compliance and HIPAA standards, meeting or exceeding daily production and quality standards, and processing insurance/patient refunds and adjustments. Additionally, the role involves evaluating and responding to email requests for AR issues in a timely manner, and researching payors and informing of any updates to medical policies/bulletins. Reviewing billing requirements and analyzing denial trends with payors are also key responsibilities.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
Ability to create and modify spreadsheets within Microsoft Excel
Ability to work between the hours: Monday – Friday 8:00AM – 5:00PM CST
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to navigate on internet for researching purposes
Problem solving, organization and interpersonal skills
Ability to work independently and as part of a team
Communication skills, both verbal and written

Nice To Haves

Medical Billing experience
Familiar with explanation of benefits and appeals

Responsibilities

Managing Third - Party AR by analyzing denied and un-responded claims
Outbound calls to insurance carriers to appeal and check claims status
Coordinate with insurance carriers to reconcile/resolve any issues
Always Maintain Compliance and HIPAA standards
Meet or exceed daily production standards by maintaining work list according to metrics
Meet or exceed daily quality standards
Perform other duties and functions as assigned
Process insurance/patient refunds and adjustments
Evaluate and respond to all emails request for any AR issues to resolve in a timely matter
Researching Payors and informing of any updates to medical policies/bulletins
Review billing requirements, and analysis of denial trends with payors, etc.

Benefits

Day 1 Medical
supplemental health
dental & vision for FT employees who work 30+ hours
Best-in-class well-being programs
Annual, no-cost health assessment program
Blueprint for Wellness® healthyMINDS mental health program
Vacation and Health/Flex Time
6 Holidays plus 1 "MyDay" off
FinFit financial coaching and services
401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
Employee stock purchase plan
Life and disability insurance, plus buy-up option
Flexible Spending Accounts
Matching gifts program
Education assistance through MyQuest for Education
Career advancement opportunities