Insurance Collector (PRN) at University Health System- San Antonio – San Antonio, Texas

Responsible for follow-up on outstanding accounts receivable for all groups and specialties, must understand fee schedules, CPT codes and how they relate to third party payer contract reimbursement. Ensures billing is complete and accurate, performs insurance appeals when appropriate and processes correspondence daily. Answers to phone calls during peak times when customer experience phone lines experience high volumes of calls. Performs payment review and notifies management when payers are consistently underpaying or not paying in a timely manner. Processes Transplant Medication statements processing as needed. Independently interact with federal, state, third party payors, agencies, physicians, clinic personnel, other University Health departments, and outside related vendors.

EDUCATION/EXPERIENCE

A high school diploma or equivalent is required. Minimum of 1 year of current Physician Billing experience dealing with insurance companies, 3 years preferred. Knowledge of payor guidelines and contracts is required. Experience of appeals to all, payors, resulting in reimbursement, is a plus. Must have knowledge of ICD-9, CPT and HCPCS coding with some medical terminology. HCFA-1500 billing experience required. Must have working knowledge of computer, calculator and general office equipment, 10-key by touch experience. On-line Medicare/Medicaid and Commercial verification is preferred. Knowledge of Microsoft Excel, Word and Access a Plus.