What are the responsibilities and job description for the PAR II Insurance Collection Specialist position at Consultants In Women's Health?
Job Details
Description
Job Duties
Maintains knowledge of assigned contracts, particularly fee schedules, and notifies Administrator/Physician/Manager of any problems with accounts in a timely manner.
Reviews and completes work log tasks in the system by working through claim edits, denials, and aging tasks. Turns in daily productivity report as necessary.
Monitors and works rejections from clearinghouse on a daily basis, reporting any trends to management.
Transfers patient credits from line item to another as necessary.
Makes adjustments to charges based on contracts, allowables and physician/management review.
Enters/updates notes and alerts into the billing system in order to communicate proper follow up/status on account. Monitors pending paper/electronic claims for proper account follow-up.
Weekly download denial ERA files to post and distribute to collectors. Submits electronic claims on a daily basis and completes claim tracker log for accountability.
Responsible for posting all insurance payment batches accurately and timely with appropriate reason codes, following ERA download process.
Reviews and responds to telephone inquiries/emails; to include patient portal from patients and staff, etc. Answers patient questions regarding accounts in a timely and professional manner. Accepts credit card payments from patients. Reviews refunds identified from posting. Prepares and documents as necessary.
Qualifications
Skills
Preferred
Microsoft Excel
Novice
Planning/Organizing Skills
Novice
Patient Billing
Novice
Interpersonal Skills
Novice
Computer/Tech Literacy
Novice
Communication Skills
Novice
Auditing Skills
Novice
Analytical Skills
Novice
Adaptability Skills
Novice
Behaviors
Preferred
Team Player: Works well as a member of a group
Dedicated: Devoted to a task or purpose with loyalty or integrity
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Preferred
Self-Starter: Inspired to perform without outside help
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Experience
Required
At least 1 year experience with medical patient billing
Job Type: Full-time