Purpose:

• Using various accounts receivable reports, audits and performs collections for accounts as assigned with outstanding balances for all insurance. Reports activity on a regular basis as designated. Re-files for services when payment is inadequate. Reconciles accounts that are inaccurate.

Accountabilities:

• Audit accounts as assigned on an aged accounts receivable report for all insurance’s that are over 30 days past due. Perform and complete the collection process for these accounts through researching the client account/files and communication with appropriate staff and payors. Make notes regarding the action taken.
• Report results of collection activities to the Accounting Service Manager weekly.
• Identify and correct client accounts that have inaccurate transactions.
• Identify unacceptable payments and/or rejections and process subsequent resubmission of claims or adjustments to be made.
• Prepares claims for Medicaid, Medicare and third party insurance as assigned.
• Cross-trains in Accounts Receivable, Billing and Collections necessary to obtain a working knowledge/understanding of all areas of the billing and collections process.
• Generates independat reports needed for follow up on assigned accounts.
• Receives and responds to incoming calls from clients and insurers.
• Other assignments or projects as needed within the department.

Qualifications:

Education:

• High School Diploma or equivalent experience required.

Experience:

• Relevant data entry experience.
• Experience in or knowledge of computerized accounting system.
• Knowledge of the billing and payor system of receivables in a medical insurance environment (i.e., contractual feels and adjustments, timely filing requirements, etc.).

Skills & Abilities:

• Ability to communicate effectively with third party payors, client, staff and consumers.
• Abile to create and maintain multiple spreadsheets in excel
• Ability to maintain confidential nature of work.
• Ability to recognize and be sensitive to cultural and ethnic differences.

Work Conditions and Considerations:

Based at a central office, light travel is required to other locations, businesses, and community sites to meet organizational needs. Workday regularly includes multiple and/or conflicting demands.