Insurance Collector

Job Description

Job Description

Description:

For over 55 years, We have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continue with that growth strategy. As our family expands, we stand by our core values, which include: integrity, excellence, trust, caring, tradition and innovation.

POSITION SUMMARY

We are looking for an Insurance Collector who will reach collections performance goals. This is done by interacting with 3rd party insurance payors to obtain payments on outstanding accounts receivables, research and resolve accounts in order to maximize collections.

DUTIES AND RESPONSIBILITIES

• Manage assignments and initiate collection follow-up of all unpaid claims with the appropriate 3rd party payor
• Research and resolve underpayment and denials with appropriate obligator. Conduct root cause analyses and makes recommendations regarding solutions.
• Support appeals process and provides documentation to borrowers, as needed
• Respond to insurance correspondence with appropriate actions
• Meet established monthly collection and productivity goals
• Provide information and assistance to patients and insurance companies
• Accurately updates system demographics, insurance information, patient issues, comments and responses
• Research insurance explanation of benefits (EOB)
• Assists collections team with identification and resolution of any material issues involving underpayment and denials
• Resolve clearinghouse rejections
• Cover patient phone calls, voicemails and billing email inquiries

QUALIFICATIONS/ EDUCATION/ CRITICAL SKILLS

• High school diploma or GED required; Associate degree preferred
• At least 2 years of collections experience
• Proficient in Microsoft Office
• Medicare and Medicaid required; eClinicalWorks (ECW) and Modernizing Medicine (ModMed) experience a plus
• Knowledgeable on CPT and ICD-10 codes with experience with Connex, MEDI system, commercial insurance portals
• Strong verbal and written communication skills
• Committed to continuous performance improvement
• Excellent time management skills with the ability to thrive in a fast-paced environment

Benefits :

• Fully remote full-time position
• Eligible to participate in company benefit program on the first of the month following 30-days of employment
• Eligible to participate in our 401(k) program with company match on the first of the month following 2-months of employment.

PHYSICAL DEMANDS/ ENVIRONMENTAL FACTORS:

This job description is not designed to cover or contain a comprehensive listing of duties or responsibilities that are required of the employee. Weil Foot & Ankle Institute is proud to be an affirmative action employer and we are committed to an equal opportunity workplace, regardless of race, color, religion, sex, sexual orientation, ender identity, ancestry, citizenship, national origin, marital status, veteran status or disability. If you have a disability or special need that requires accommodation, please let us know.

• While performing the duties of this job, the employee is regularly required to stand or sit; use hands; and talk or hear
• Specific vision abilities required by this job include close vision, distance vision and depth perception

AMERICAN WITH DISABILITIES ACT (ADA) SPECIFICATIONS:

Qualified individuals with disabilities may make a request for reasonable accommodation to the Director of Human Resources. Upon receipt of an accommodation request, the Director of Human Resources will meet with the requesting individual to discuss and identify the precise limitations resulting from the disability and the potential accommodation that might help overcome those limitations. The Director of Human Resources in conjunction with a medical review (and, if necessary, other appropriate management representatives) will determine the feasibility of the requested accommodation and the impact on the business operation. The Director of Human Resources will inform the qualified individual of the decision of the accommodation request or how to make the accommodation.