Account Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business Office

Account Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business Office

Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines

Minimum experience: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT

Preferred experience: 3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)

Shift: Days

Hours: 8am to 5pm

Required skills:

General functions:

Demonstrates required skills for communication with various health insurance providers

Possesses moderate billing knowledge, with the ability to perform remittance review and analysis

Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals

Identifies late charges and credit corrections

Adds insurance profiles

Communicates appeals to insurance company regarding denials

• Handles discounts, clinical pre-certification issues

Department/business unit functions:

Verifies eligibility from various insurance agencies

Retrieves patient accounts

Addresses letters from Medicare, works with prompt pay issues

Makes insurance follow-up calls

Performs corrections and updates to the insurance master

Files, faxes, copies and performs other clerical duties

Performs data entry, work processing and correspondence duties

Performs special projects as assigned

Utilizes resources efficiently and effectively

Maintains safe environment

• Participates in Performance Improvement activities