AR Insurance Follow-up Collections
- Job Title
- AR Insurance Follow-up Collections
- Job ID
- 27072978
- Location
- Nashville, TN 37205
- Other Location
- Description
-
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.