Business Manager – Collections
Capital One
Insurance Collections Specialist
Gastro Health
full-time
Posted on:
Location: Ohio • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution Maintains active communications with insurance carriers and third-party carriers until account is paid. Negotiates payment of current and past due accounts by direct telephone and written correspondence. Updates patient account information Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. Manage all assigned worklist on a daily basis for assigned insurances. Utilize collection techniques to resolve accounts according to company’s policies and procedures. Report any coding related denial to the Coding Specialist. Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims. Assist with special projects assigned by Billing Manager or Supervisor
Requirements
- High school diploma or GED equivalent. At least 2 years’ experience in insurance collections. Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) Knowledge with letters of appeal. Intermediate experience with Microsoft Excel and Office products is required. Experience with HMO, PPO, and Medicare insurances. Must be able to read, interpret, and apply regulations, policies and procedures
