About this role
ROLE AND RESPONSIBILITIES
• The Account Receivable Specialist Representative/Collector will work with the Finance Department Manager to collect appropriate reimbursement on assigned payer invoices.
• Duties include and are not limited to the review of assigned invoices to determine the best process to obtain maximum reimbursement for services by prioritizing and perform daily follow-up. Communicate well with payers both verbally and in writing.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
• High School Diploma or equivalent and additional specialized training in medical billing and/or collections
• Minimum of 2 years of medical collection experience
• Medical/Pharmacy terminology experience desired
• Explanation of Benefits (EOB’s) experience
• Payer website experience desired
REQUIRED SKILLS
• Experience in reviewing aging reports
• Experience with denials and appeal procedures.
• Experience in the basic 1500 Form Billing Rules.
• Utilize Payor Portals via the internet for claim disposition
• Strong analytical and problem-solving skills
• Ability to quickly learn multiple software platforms (CPR+ & Office Ally)
• Excellent verbal and written communication skills
• Excellent listening skills
• Strong planning and organizational skills
• High quality work, organized with attention to detail
• Strong customer focus with the ability to problem solve to meet customer needs and expectations
ADDITIONAL NOTES
• Must be able work independently
• Must possess and maintain a “whatever it takes” attitude and can stay on task
• Must be able to communicate with internal customers at all levels of management
• Must be able to work in Microsoft Word and Excel
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