Insurance Collection Rep III

Responsibilities

• Solves aged insurance accounts which have not been collected through billing and routine follow-up activities.
• Assesses payment probability to determine appropriate collection technique.
• Resolves unpaid insurance accounts which have not been paid or rejected within a predetermined period and are impeding the prompt resolution of Accounts Receivable.
• Contacts via correspondence, telephone or meeting with insurance representatives.
• Researches, identifies, and contributes to resolution if unable to resolve with third-party insurance.
• Collaborates with internal payer contracting department and/or files an appeal.
• Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements.
• Maintains a detailed knowledge of insurance regulations and billing procedures which affect Accounts Receivable, so as to rebill accounts correctly.
• Responds to written and verbal inquiries.
• Maintains records for effective reporting on both daily and weekly basis.
• Other duties as assigned.

Requirements

• Associate's degree and 2 years of hospital patient accounting or consumer collections experience required.
• Or equivalent combination of education and experience.
• Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) preferred.

Qualifications

• Maintains a detailed knowledge of insurance regulations and billing procedures which affect Accounts Receivable, so as to rebill accounts correctly.
• Collaborates with internal payer contracting department and/or files an appeal.
• Documents all actions for both patient and University personnel and interacts with ancillary areas to secure needed assistance and documentation to meet insurers requirements.
• Responds to written and verbal inquiries.
• Maintains records for effective reporting on both daily and weekly basis.