- Provides outstanding customer service to both internal and external parties
- Utilize multiple software systems to follow current workflow processes to ensure timely follow up on assigned claims
- Contact patients, physician offices and insurance companies to relay or obtain necessary information and/or documentation to maximize reimbursement
- Resubmission of claims after identifying initial submission was not received or rejected by the payer
- Submits corrected claims to payer after making necessary edits on HCFA 1500 claim forms
- Write appeals to insurance companies to overturn denied or incorrectly paid claims
- Understand and resolve credit balances and write offs by submitting refunds, adjustments etc.
- Communicate pertinent reimbursement issues to leadership timely
- Monitor and manage assigned accounts timely to claim resolution
- Perform other duties as assigned by Management
- High School Diploma required
- Minimum 2 years' experience in a medical revenue cycle environment with a solid understanding of HCFA 1500 claim forms required
- Experience with Microsoft Office and navigating Windows software required
- A solid, intermediate background in Microsoft Excel
- Superior communication, interpersonal, and organizational skills
- Multi-tasking with a strong attention to detail
- A fast and resourceful learner with an eagerness to grow and adapt to daily challenges
- While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
- The noise level in the work environment is usually quiet.
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Collections Specialist M - Pittsburgh, United States - ZOLL Medical Corporation
Description
CMS
At ZOLL, we're passionate about improving patient outcomes and helping save lives.
We provide innovative technologies that make a meaningful difference in people's lives.
Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest wearable cardioverter defibrillator (WCD), the ZOLL cardiac monitor, and associated technologies.
ZOLL has been Pittsburgh's Manufacturer of the Year, one of Western PA's Healthiest Employers, and even one of Pittsburgh's Coolest Offices.
Job Summary
The Collections Specialist is responsible for working with insurance companies to facilitate the reprocessing of denied, incorrectly paid and unprocessed claims to result in a favorable return.
Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit.
Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.