Sr. Collections Representative
About The Position
The Sr. Collections Representative will be responsible for managing Third-Party AR by analyzing denied and un-responded claims. This role involves making outbound calls to insurance carriers to appeal and check claims status, coordinating with insurance carriers to reconcile/resolve any issues, and maintaining compliance with HIPAA standards. The representative will also be expected to meet or exceed daily production and quality standards, process insurance/patient refunds and adjustments, and evaluate and respond to email requests for AR issues in a timely manner. Additionally, the role requires researching Payors and informing them of any updates to medical policies/bulletins, and reviewing billing requirements and analyzing denial trends with payors.
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
- Responsible for 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
- Familiar with explanation of benefits
- 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. 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
