Hospital Biller A/R Collections Specialist

Apex Healthcare, Inc. is URAC Accredited in Health Utilization Management. Our business practices are closely monitored to ensure the highest quality services in the healthcare field. Apex Healthcare, Inc. is certified by National Committee for Quality Assurance (NCQA) in Utilization Management. Position: Hospital Biller A/R Collections Specialist Location: Naperville, IL Job Id: 135-143 # of Openings: 1

APEX HEALTHCARE INC.

JOB DESCRIPTION

JOB TITLE Hospital Biller A/R Collections Specialist POSITION SUMMARY: Specialist is responsible for providing customer service on outstanding patient, as well as placing collection calls and other correspondence within the Medical Billing department. FSLA Non-Exempt PRINCIPLE DUTIES AND RESPONSIBILITIES Tracks and follows up on delinquent hospital insurance collections and denials Maintains and works accounts receivable report for billing Identifies and resolves patient billing complaints Performs various collections including working patient statements, contacting patients by phone, setting up payment plans, correcting and resubmitting claims to third-party payers Interacts with insurance companies and patients, primarily by telephone and electronically Reconcile customer disputes as they pertain to payment of outstanding balances that are due Demonstrates good judgment in selecting methods and techniques for obtaining solutions Work off of an aged trial balance to ensure a 30-day follow-up on all patient accounts. Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate. Denial Management (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients. Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies. Process refunds/reinstatements/rejections of insurance claims, running reports on a weekly and monthly basis Support Medical Billing department with other tasks as needed/assigned Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations

EDUCATION

High School Diploma required IDC.10 and CPT coding Certification preferred

EXPERIENCE

3-5 years minimum experience performing healthcare reimbursement, medical insurance/billing or related work required Intermediate to Advance experience with Microsoft Office Suite Hospital billing knowledge required Meditech experience highly preferred KNOWLEDGE AND SKILLS Excellent Written and Oral communication skills Ability to work independently with minimal supervision Excellent understanding of the accounts receivable process Strong Analytical and interpersonal Skills and ability to interact with clients Time management Problem-solving skills Flexibility to switch between duties on a given task Ability to prioritize Ability to interpret and use ICD-10 codes and CPT codes Firm understanding of current CCI edits OTHER CONSIDERATIONS This position does not qualify for Visa sponsorship The above description contains the general content and requirements for performance of the position. It is not intended, nor should it be construed as being an exhaustive list or statement of all duties, responsibilities, and/or requirements associated with the position. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Data and information is provided for informational purposes only. Neither Apex Healthcare, Inc. nor any of its data or content providers (HMO, PPO, PHO, IPA and Medical Practice Plans) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon. By accessing Apex Healthcare, Inc.’s site, a user agrees not to redistribute the information found therein. In order to use this service, you need to have an existing User ID and User Password from an Apex Healthcare, Inc. authorized data and information provider. Apex Healthcare, Inc. is not an HMO, PPO, PHO, IPA, Medical Practice Plan or Health Insurance Company. Apex Healthcare, Inc. shall not be liable for any damages or costs of any type arising out of or in any way connected with your use of data or information. #J-18808-Ljbffr Apex Healthcare