Performs follow-up and collects on insurance balances including governmental payors and workcomp through the use of various system reports.
- High school graduate or equivalent
- 1-3 years experience
Work denials and zero pay Explanation of Benefits and Remittance Advices to determine liability and appropriate action to ensure reimbursement. Maintain payor AR days through effective collection; account resolution; and proper monitoring of receivables. Document all transactions in the patient account system. Process correspondence; EOB's; RA's and interoffice mail in a timely manner with no more than a five day backlog. Request medical records as needed for claims processing and Medicare audits. Request and print demand claims for immediate submittal to payors. Contact insurance companies; governmental payors; and workcomp carriers performing third party collections on insurance balances for primary; secondary; and tertiary payors. Maintain active communication with third-party carriers until account is paid; or balance becomes the patient's responsibility. Monitor Medicare VDT to ensure suspended claims are resolved in a timely manner; ensuring that they do not drop from the system at 45 days. Run weekly and monthly reports; including Aged Trial Balance; to effectively monitor accounts receivable. Follow-up on system reminders to ensure proper account resolution.
Job Code: 6102
Posted On: 02/19/19
Closing Date: Open Until Filled
Categories: Customer Service, Admin - Clerical, Sales
Job Status: Full Time