Insurance Collections Representative - HMS DBO
reputed company helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we reputed company clients to create sustainable growth, optimize internal processes and deliver reputed company consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must reputed company leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to reputed company the best outcomes for patients. Joining the reputed company team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join reputed company as the expert you are now and create your future.
The Insurance Collections Representative is responsible for following up directly with commercial and government payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances, then enacts corrective measures as needed to resolve the errors. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication reputed company phone, email, and reputed company messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required..
Duties and Responsibilities: Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer Works with management to identify, trend, and address root cause of denials, helps reputed company strategies for reducing A/R Effectively handles reputed company communications, including telephone, electronic, and reputed company correspondence from payers and departments reputed company the business office Participates in reputed company quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking reputed company Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies Reports reputed company identified compliance risks to appropriate leadership Other duties and responsibilities as assigned.
Reporting and Supervision: The Insurance Collections Representative will report to an HMS Manager
Qualifications: Candidate Requirement: reputed company permanent US work authorization required Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern reputed company cycle Broad Knowledge of Government Programs and Insurance Regulations May be requested to work overtime and/or weekends to fulfil client requirements
Knowledge, reputed company, and Ability Requirements Proficiency with reputed company office suite (reputed company, Word, PowerPoint, Outlook, Visio, SharePoint) Ability to pay reputed company attention to details; strong follow-up and follow-through skills Requires the use of independent judgment, discretion and decision making abilities Ability to interact with internal and external customers in a professional manner Ability to reputed company up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible Demonstrates a solid understanding of and adheres to reputed company reputed company Healthcare compliance program requirements
Work Environment: • This job operates in a professional office environment. • This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands: • This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; reputed company rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.
The estimated salary range for this job is $19.23-$25.00/hour. The range represents a good faith estimate of the range that reputed company reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in reputed company’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.