Insurance Follow-up Agent

Recovery Specialist (Insurance Billing And Collections)

The job of the Recovery Specialist (insurance billing and collections) is to reconcile aged receivable accounts to determine where the outstanding balance lies. Once that is determined, the Recovery Specialist will then need to take the appropriate action; whether that be contact the insurance company for a reprocess, submit a reprint/rebill or appeal to the insurance, submit for the appropriate write off/adjustment, and/or close out the remaining balance to patient responsibility.

Investigate/Reconcile outstanding accounts to determine the cause for the remaining balance

Make insurance calls to resolve the outstanding account balance and obtain any pertinent information regarding the outstanding claim

Resubmit reprints, rebills, and/or appeals to the insurance for processing

Identify and submit any needed contractual adjustments or other write-offs

Identify remaining patient responsibility, close out the balance to the patient

Education/Experience/Skills Required:

High school diploma or GED equivalent.

Skills:

Strong communication skills

Medical terminology

Insurance contract experience

Medical billing/claim generation experience

Understanding of UB04 and HCFA1500 forms

Strong mathematics

Basic Microsoft Office knowledge

The ability to Multitask

Excellent customer service

Practice effective written and oral communication

Experience in Cerner billing system a plus!

Functional Experience:

Organization

Time Management

Stick to client specific processes and procedures

The ability to handle multiple computer systems at one time

Creative talk offs, effective negotiation skills and proper follow up habits

Compliance with HIPAA, FCRA, FDCPA and all other applicable laws and regulations

Attributes:

Dependable

Effective listening skills

Organized and the ability to multitask

Fast learner and the ability to troubleshoot

Properly handle highly confidential information

Physical Requirements:

While performing the duties of this job, the employee is frequently required to use their hands to type; regularly required to sit for extended periods of time, talk, hear and read; occasionally required to walk and reach with hands and arms. The employee is occasionally required to lift and/or move up to 25 pounds. Special vision requirements for this job include close vision and ability to adjust focus. The noise level in the work environment is usually moderate. This position may require some reimbursable travel.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.