Insurance Collector

DUTIES & RESPONSIBILITIES

* SUBMIT INSURANCE CLAIMS MANUALLY, VIA FAX, AND INSURANCE PORTALS WHEN

REQUIRED.

* RESPONSIBLE FOR CONTACTING INSURANCE CARRIERS AND FOLLOWING UP ON OUTSTANDING

CLAIMS.

* IDENTIFYING, COMPLETING, AND RESOLVING INSURANCE DENIALS IN A TIMELY MANNER

TO EXPEDITE CLAIMS PROCESSING AND PAYMENT.

* KNOWLEDGE OF INSURANCE EOB’S LAYOUT/ LANGUAGE AND REQUIREMENTS FOR VARIOUS

INSURANCE CARRIERS.

* APPEALING INSURANCE CLAIMS WHEN REQUIRED.

* ENSURING EXCELLENT CUSTOMER SERVICE IS PROVIDED WHEN FOLLOWING UP ON

OUTSTANDING CLAIMS.

* RESPONSIBLE FOR DAILY/ WEEKLY & MONTHLY REPORTING OF FOLLOWING REPORTS: DEPT OVERVIEW, PRODUCTIVITY REPORTS, POSTING REVIEW SCHEDULE, INSURANCE

NEGOTIATIONS/ SETTLEMENTS.

* IDENTIFY INSURANCE TRENDS THAT NEGATIVELY IMPACT CASH COLLECTIONS, UTILIZE TRAINING TOOLS PROVIDED TO RESOLVE ISSUES AND/OR ESCALATE TO DEPT MANAGER/

DIRECTOR.

• RESPONSIBLE FOR COMPLETING DEPT PROJECTS AS ASSIGNED.
• PROVIDE GENERAL ADMINISTRATIVE AND CLERICAL SUPPORT INCLUDING BUT NOT LIMITED

TO, RECEIVING, AND SORTING DAILY MAIL, MAINTAINING MEDICAL RECORDS, FAXING,

COPYING, AND SCANNING.

* WORK CLOSELY WITH DEPT MANAGERS/ SUPERVISORS TO CREATE IMPROVEMENT & IMPLEMENT PROCESSES TO ENSURE DEPT GOALS AND OBJECTIVES ARE MET IN A

CONSISTENT

EDUCATION AND EXPERIENCE

* HIGH SCHOOL DIPLOMA, ASSOCIATE DEGREE PREFERRED.

• AMBULANCE/MEDICAL BILLING CERTIFICATION OR DIPLOMA PREFERRED.
• MAINTAIN WORKING KNOWLEDGE OF ICD-10, CPT AND HCPCS CODING, NPI, HIPAA,

MODIFIERS, EPCR’S AND ALL FORMS OF MEDICAL BILLING (DIRECT, 3RD PARTY, HMO’S, PRIVATE PAY, NO-FAULT, WORKER’S COMP, MEDICARE & MEDICAID * EXCELLENT ORGANIZATIONAL SKILLS AND THE ABILITY TO MULTI-TASK IN A FAST-PACED

ENVIRONMENT

• REVIEW AND RESEARCH DATA; USE INTUITION AND EXPERIENCE TO COMPLEMENT DATA.
• THOROUGH KNOWLEDGE OF TRANSPORT DOCUMENTATION (PCRS)
• ABILITY TO FOLLOW UP ON OUTSTANDING INSURANCE CLAIMS.
• ABILITY ABLE TO SUBMIT APPEALS AND OVERPAYMENT REQUESTS.
• HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) REQUIREMENTS AND

RECORD RETENTION COMPLIANCE.

* EXCELLENT WRITTEN AND VERBAL COMMUNICATIONS SKILLS REQUIRED · EXCELLENT DOCUMENTATION SKILLS (PROMPTNESS, ACCURACY, THOROUGHNESS, AND LEGIBILITY). * CREDIT & COLLECTIONS PROCEDURES, PAYMENT PLAN/ SETTLEMENTS.

* CUSTOMER SERVICE/ CLIENT RELATIONS.

COMPETENCIES

* WORKING KNOWLEDGE OF EMS SYSTEMS/PRIVATE AMBULANCE AND MEDICAL TRANSPORTATION

SYSTEMS PREFERRED.

* KNOWLEDGE OF WAYSTAR/ CLEARINGHOUSE.

* KNOWLEDGE MICROSOFT WORD, MICROSOFT EXCEL, AND MICROSOFT WINDOWS.

* FAMILIARITY WITH MEDICAL TERMINOLOGY

* ORGANIZATIONAL AND LEADERSHIP ABILITIES, DETAIL ORIENTED.

WORK ENVIRONMENT

* WORK IS PERFORMED UNDER NORMAL WORKING CONDITIONS, AS IN A STANDARD OFFICE

ENVIRONMENT.

PHYSICAL REQUIREMENTS

* HIGH LEVEL OF SITTING/WORKING AT A DESK

* LIGHT PHYSICAL EFFORT (LIFT/CARRY UP TO 10 LBS.)

* MUST BE ABLE TO PERFORM THE ESSENTIAL DUTIES OF THE POSITION WITH OR WITHOUT

REASONABLE ACCOMMODATIONS