- Review claims on-line as offered by individual payors to ensure timely processing.
- Contact insurance carriers by phone regarding outstanding balances, as needed.
- Resubmit claims to insurance carriers, as needed.
- File appeals on technical denials and/or claim disputes, as needed.
- Validate accounts for accurate payments, discounts, and contractual adjustments, correcting them, as needed.
- Reply to insurance carrier correspondence in a timely matter.
- Answer in-coming calls resolving insurance issues in a timely matter.
- Credit Balance Process and Review, as assigned.
- Review all credit balance accounts for incorrect contractual adjustments, correcting them as needed.
- Respond in writing to insurance companies' refund requests in a timely matter to avoid inappropriate recoupments.
- High school diploma or equivalent.
- One to two years' experience in healthcare receivables.
- Must have a strong credit and collection background.
- Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement.
- Working knowledge of Managed Care contract language and interpretation.
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Collector - Waukegan, United States - AHS Vista LLC
Description
Job Description
Job DescriptionUnder the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.
Responsibilities:
Qualifications: