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    Collections Representative - Portland, United States - Spurwink Services

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    Job Description

    Job Description

    Spurwink's Finance department seeks an experienced Collections Representative to follow up on denials and outstanding accounts receivable for the agency. Including outstanding Medicare and third-party insurance and miscellaneous billing accounts older than 60 days. The Collections Representative will also follow up, correct and resubmit claims for all government and non-government denials in a timely manner and respond to any inquiries regarding complex billing issues.

    Robust Benefits Package:

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Retirement Account with Matching Contribution (after one year of service)
    • Identity Theft Insurance
    • Pet Insurance

    BENEFITS MAY INCLUDE:

    • Flexibility of Schedules
    • Career Advancement Opportunities
    • Tuition Reimbursement (up to $2000 annually)
    • Student Loan Assistance
    • Generous Paid Time Off
    • Verizon & Sprint Cell Phone Discounts
    • Opportunity for Same Day Pay

    DUTIES:

    • Follow up on all outstanding Maine Care accounts greater than 30 days old. Submit bills electronically using internal software compatible with the State of Maine. Achieve a 2-3week turnaround time for payment receipt. Reconcile all submissions to Maine Care.
    • Follow up on all outstanding Medicare, Third Party Insurance, and Miscellaneous Billing accounts greater than 60 days. Resubmit claims on payer-preferred HIPAA compliant format. Review aging report to determine which claims require follow up and prioritization Follow up, correct, and resubmit claims for all denials received within 5 days of receipt of Explanation of Benefits.
    • Identify billing inconsistencies and communicate these inconsistencies back to the staff.
    • Respond to any patient inquiries regarding the self-pay bills Establish payment arrangements on outstanding balances. Identify accounts that need to be sent to the collection agency.
    • Perform as a backup for insurance verifications and cash posting.
    • Help to develop and use tools to trend denial reasons by most common denial reason which programs and staff are receiving the most denials total dollars held up by denials.
    • Assist with development and ongoing updates of Collection Policies and Procedures.
    • Assist in A/R-related matters for the year-end audit, internal QA audits or audits by third-party funding agencies.
    • Perform various other duties as deemed appropriate and necessary by the Accounts Receivable Manager, Director of Accounts Receivable, or the CFO/Treasurer.

    QUALIFICATIONS:

    High school diploma or equivalent. Three or more years experience preferred.

    A minimum of two years experience in Medicare, Maine Care and Third Party billing/reimbursement and one year of collections. Ability to prioritize multiple tasks effectively. Excellent interpersonal and communication skills are a must. Willingness to work effectively in a team oriented environment. Familiarity with personal computer spreadsheets and database packages including Excel, Microsoft Word, and Accounts Receivable financial software.

    Spurwink is an Equal Opportunity Employer.



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