Accounting/Finance - Biller/Collector I - Contract at TalentBurst, Inc.
Irwindale, CA
About the Job
Job Title: Accounting/Finance - Biller/Collector I
Location: Irwindale, CA
Duration: 3 months
Shift Schedule: 7:30- 4pm
FTE Conversion/Extension possibility? yes.
We are looking for someone that may have Case rate billing experience, if not 3 years or more of collections experience with Professional billing
Position Summary:
To efficiently and collectively collect reimbursement for professional services rendered. The Collector is in charge of monitoring and processing accounts that are both straightforward and may need further research in order to bring resolution. The Collector will work with minimal supervision from management to ensure the integrity of the work performed. The Collector works in a team environment to fulfill the mission and goals of the Division.
Essential Functions:
Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
Ensures all conditions for payment receipt have been satisfied, which includes.
but not limited to:
Accurate charges
Patient insurance eligibility
Accurate financial class
Patient benefit coverage
Authorization/certification/TAR information
Patient responsibilities
Claims address
CPT coding, as applicable
ICD-9 coding, as applicable
Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.
Interacts with co-workers and other representatives to obtain required information on a timely basis.
Initiates contact with patient's as necessary
Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.
When required, submits bills to insurance for secondary insurance.
Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.
Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.
Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.
Clearly document within the patient's account, based on internal policies and procedures.
Demonstrates teamwork and helps with special projects when assigned.
Maintains a positive image when dealing with department personnel and other employees.
Follows established Client and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
Performs other related duties as assigned or requested.
Position Qualifications:
Minimum Education: High school diploma or equivalent
Minimum Experience:
Minimum three (3) to five (5) years' experience performing medical functions. Minimum experience including corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.
Skills/Abilities:
Demonstrated written and verbal communication skills
Ability to plan and carry out responsibilities with supervision
Excellent verbal and written communication skills
Excellent interpersonal skills with other departments.
Software:
Experience with on-line practice management system. Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.). Type 35+ wpm required
Machines/Equipment:
Personal computer
Computer peripheral equipment
Working / Environmental Conditions:
Atmosphere and environment associated with an office setting. Smoke free environment.
Subject to regularly changing priorities or work assignments
TB_PH
Location: Irwindale, CA
Duration: 3 months
Shift Schedule: 7:30- 4pm
FTE Conversion/Extension possibility? yes.
We are looking for someone that may have Case rate billing experience, if not 3 years or more of collections experience with Professional billing
Position Summary:
To efficiently and collectively collect reimbursement for professional services rendered. The Collector is in charge of monitoring and processing accounts that are both straightforward and may need further research in order to bring resolution. The Collector will work with minimal supervision from management to ensure the integrity of the work performed. The Collector works in a team environment to fulfill the mission and goals of the Division.
Essential Functions:
Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
Ensures all conditions for payment receipt have been satisfied, which includes.
but not limited to:
Accurate charges
Patient insurance eligibility
Accurate financial class
Patient benefit coverage
Authorization/certification/TAR information
Patient responsibilities
Claims address
CPT coding, as applicable
ICD-9 coding, as applicable
Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.
Interacts with co-workers and other representatives to obtain required information on a timely basis.
Initiates contact with patient's as necessary
Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.
When required, submits bills to insurance for secondary insurance.
Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.
Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.
Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.
Clearly document within the patient's account, based on internal policies and procedures.
Demonstrates teamwork and helps with special projects when assigned.
Maintains a positive image when dealing with department personnel and other employees.
Follows established Client and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
Performs other related duties as assigned or requested.
Position Qualifications:
Minimum Education: High school diploma or equivalent
Minimum Experience:
Minimum three (3) to five (5) years' experience performing medical functions. Minimum experience including corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures. Experience with reading Explanation of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.
Skills/Abilities:
Demonstrated written and verbal communication skills
Ability to plan and carry out responsibilities with supervision
Excellent verbal and written communication skills
Excellent interpersonal skills with other departments.
Software:
Experience with on-line practice management system. Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.). Type 35+ wpm required
Machines/Equipment:
Personal computer
Computer peripheral equipment
Working / Environmental Conditions:
Atmosphere and environment associated with an office setting. Smoke free environment.
Subject to regularly changing priorities or work assignments
TB_PH