AR Insurance Follow-up Collector - cCARE

*Job Purpose:* The Insurance Follow-up Collector generates revenue by monitoring and pursuing payment on all unpaid and delinquent accounts in a timely manner; serving as a liaison between the Provider, Payors, and Patient with regards to payment collections; and maintaining daily and monthly productivity goals to maximize cash flow.







Essential Functions:



· Verification of insurance benefits if missed by front office



· Able to research denied CPT codes with comparison to the LCD/NCD requirements



· Effectively identifies trend that inhibit timely payment



· Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned



· Works closely with insurance carriers for reimbursement requirements to ensure payment



· Reviews outstanding AR accounts and contacts insurance for reimbursement explanation.



· Provides clear and accurate documentation of all contacts with any internal or external persons concerning patient accounts



· Quickly becomes familiar with duties and performs them independently, accurately, efficiently, promptly, recognizing their importance and relationship to patient care



· Consults with appeals department for disputed / denied claims.



· Works / Understands electronic claim interchange



· Understands life cycle of primary and secondary claims



· Maintains front office support relationship



· Takes incoming calls from insurance carriers and patients



· Regular attendance and punctuality.



· Contributes to team effort by accomplishing related results as needed.



· Ensures that all processing and reporting deadlines are consistently achieved.



· Perform any other functions as required by management.



Qualifications and Education Requirements



· Minimum 2 years experience in Insurance follow-up



· Understanding of managed care contracts and fee schedules, including Medicare and Medicaid



· Experience with computerized billing software and interpreting EOBs



· Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding



Preferred Skills



· Knowledge of medical terminology



· Familiar with Chemotherapy and Radiation Billing



Required Competencies



Ability to work in a team environment and be able to multi task. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking. Ability to maintain a professional, polished image. Ability to communicate effectively, both written and verbal.



Physical Demands and work environment



The physical demands and work environment characteristics 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.



_Physical demands: _Required job duties are essentially sedentary in nature, consisting of occasional walking, standing, lifting and/or carrying twenty five pounds maximum, seeing, speaking and hearing. Must be able to lift up to 25 pounds.



_Work environment_: Required job duties are normally performed in a climate-controlled office environment.

Job Type: Full-time

Pay: $21.00 - $22.00 per hour

Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday



Experience:
* ICD-10: 1 year (Preferred)
* Insurance follow-up: 2 years (Required)
* Understanding of managed care contracts and fee schedules: 2 years (Required)
* computerized billing software and interpreting EOBs: 2 years (Required)

Ability to Commute:
* Fresno, CA 93720 (Required)


Work Location: In person