Patient Accounts - Collections

• 100% Remote, but if the candidate is local to Denver or Tacoma, that is a plus!

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on insurance claims; Actions include but is not limited to remit and EOB review, calling payer(s) and clinics, rebilling, navigating payer portals, and taking adjustments or submitting refund packets
• Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayment or credit balance and follow appropriate policy and procedure to remediate
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of insurance claims
• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
• Supports the team with ad hoc reporting of outstanding balances and trends
• Stay current on communication relating to healthcare reimbursement and regulatory changes
• Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
• Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and Client policies
• Consistent and punctual attendance as scheduled is an essential responsibility of this position

Skills:

• Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook (required)
• Healthcare and medical collections/denial remediation or refund experience (preferred)
• 1+ years of medical insurance claim experience (preferred)
• 1+ years of experience with generic accounting, transactions, or medical billing systems (preferred)