Healthcare Reimbursement Collector
The Reimbursement Collector is responsible for performing all billing follow-up functions for Commercial/Government and third-party payers. The Reimbursement Collector also provides Collections efforts for all buckets of Accounts Receivable (AR), excluding Self-Pay. The primary goal for this position is to ensure that all Collections functions are performed timely, accurately and in adherence to Curahealth policies and Insurance contracts.
Required Experience, Essential Duties & Responsibilities:
Minimum 2 years of medical experience in collections, denials and appeals processes with all payers.
Reviews and responds to all payer correspondence pertaining to any denials, short pays and or providing additional information to obtain full reimbursement.
Ability to escalate and promptly resolve claim rejections and/or other billing issues according applicable state and federal regulations
Run aging reports for collection call identification and complete collection calls and follow up note entry
Ability to maintain established goal(s), and notifying Supervisors, of issues preventing achievement of such goal(s)
Complete miscellaneous clerical duties
Proficiency with Microsoft Windows, Outlook, Word, Excel, and custom billing software
Team-oriented, with an ability to learn quickly, communicate clearly, and be dependable
Preferred Specialized Skills:
Strong organizational skills, and the ability to work under pressure. Ability to handle and prioritize multiple tasks and meet all deadlines
Strong knowledge of EOBs (Payer Explanation of Benefits)
Excellent problem solving/judgment skills, and high level of attention to detail and accuracy
Knowledge of claim and benefit requirements for Medicare, Medicaid, HMO, PPO and/or other third party payor