Account Resolution Insurance Collector
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Job Summary: Under the direction of the Account Resolution Supervisor and the Director of Patient Financial Services, the Account Resolution Insurance Collector position is responsible for management of accounts so that accounts receivable is minimized. Job duties include but are not limited to ensuring that claims are processed accurately and efficiently so that maximum hospital reimbursement is received from payers; works all denials in a timely manner according to insurance filing guidelines; escalates any account that needs a first level appeal or has had more than 2 denials on the same claim to the Account Specialist; queues claim and provides all documents to the Account Resolution Billers on accounts that needs to be refiled to any payer; works all mail correspondence daily; assisting customers in person or by telephone to resolve issues and questions associated with their account balances; and assisting supervisor in developing, establishing and implementing operational policies and procedures.
- Ability to organize work, direct and set priorities, and effectively accomplish required duties with minimal or no supervision.
- Previously worked as an Account Resolution Biller position within the organization.
- High school diploma or equivalent required. Advanced degree or active pursuit of advanced degree preferred.
- One to two years previous acceptable experience in a Patient Financial Services, Accounts Receivable, Health Information Management or Business office setting preferred.
- Experience in claims and remittance processing required.
- Must be able to pass pre-employment testing including but not limited to clerical ability and typing test.
- Intermediate level knowledge of Microsoft Excel, Microsoft Word and/or Microsoft Access preferred.
- Must be able to meet the public in a direct and professional manner.
- Previous work history that demonstrates steady attendance and punctuality is required.
- Must be able to read & communicate effectively in English.
- Must be able to communicate firmly what is required of patients in regard to their financial status.
- Must be able to communicate (orally and in writing) effectively with patients, doctors and other departments in the institution.