Experience Inc. Jobs

Description

A large hospital system is in need of a Medical Collector/Insurance follow-up specialist. The Medical Collector/Insurance follow-up specialist will be directly supporting the organization by conducting insurance collections for its many Acute Medical Facilities.

Required Experience:

• 2-3 years of hospital insurance follow up, including utilization of phone calls and online payer portals

• Experience with HMO & PPO insurance follow up

• Utilization of worklist based follow up workflow

• Ability to work with numerous systems (i.e., patient accounting, worklist management, electronic billing, payer portals)

• Daily/weekly productivity and quality audit metrics

Additional experience that is helpful:

• Multi-hospital insurance follow up

• Denial review and appeal letter writing

Requirements - Prefer 2 years experience in medical billing or within the revenue cycle

• High school diploma or equivalent required

• Working knowledge of practice management software

• Deep understanding of Third Party Payer

• Previous experience working with medical billing

• Experience with government agencies & programs

• Solid understanding of procedures

• Solid understanding of Corporate Headquarters

• Expertise in Precedents

• Quality experience with Coding

• Well-founded grasp of Claim Administration

• Earlier work involving Reimbursements

• Hands-on experience with Vaccines

• Foundational knowledge in Medical Coverage

• Proven knowledge of Collection Processes

• Proficiency in Workstation Support

• General familiarity with credit

• Foundational knowledge in mumps

• Comprehension of Payer

• Good understanding of Appeals

• Billing experience

• Quality experience preferred

• Skills in Debit Credit

• Prior experience with Write Offs

• Practical knowledge of productivity

• Solid understanding of Vaccinations

• Wide ranging experience with Adjustments

• Deep knowledge of explanation of benefits (EOBs)

• Outstanding data entry skills

• Strong proficiency with Microsoft Office applications, specifically Word, Outlook and internet applications

• Strong communication and social skills

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