Professional Insurance Collector ll

Your Mission

Your mission as our next Professional Insurance Collector ll is to assist the team in resolving patient accounts to get claims paid properly and quickly by working with the insurance company, thus reducing the outstanding accounts receivable for Xtensys.

What You’ll Do

• Maintain and manage Epic work queues, including Follow-Up and Denial work queues, ensuring timely and effective handling of all items within these queues to support efficient claims processing and account resolution.
• Reviews credit balances for overpayments. Refunds are done timely.
• Handles any correspondence including rejections on a timely basis.
• Interacts and works closely with other departments of the Medical Centers.
• Maintains a working knowledge of all billing functions, procedures and regulations.
• Researches problems relating to patient accounts, including working with other departments concerning billing issues.
• Engage with patients and payers via phone to address and resolve issues related to accounts, ensuring effective communication to facilitate prompt resolution.
• Identifies problematics trends and communicates with department leaders.
• Researches, identifies, and rectifies any special circumstances affecting the resolution of the account.
• Maintains confidentiality and adheres to all HIPAA guidelines and regulations.

Proven Track Record

• 3-5 years of billing and insurance collections in a healthcare environment.
• Working knowledge of all billing functions, procedures and regulations.

Who You Are & What You’ll Bring

• A High School Diploma or GED is required.
• An Associate’s degree or Coding Certification is preferred.
• Technical Savvy: Understanding of billing platforms and claim workflows.
• Experience with Epic is a plus.
• No travel required.
• Capability for sedentary work, including sitting for long periods.