- Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and company-wide fiscal impact.
- Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors.
- Analyzes and problem solve account issues to full resolution.
- Manages internal and external customer/business inquiries regarding account status and account history.
- Research issues off-line as needed with payor/patient; conducts follow-up calls with payors and customers, initiating conference calls between insurance carrier and patients to resolve customer concerns.
- Research and initiates refund requests due to overpayments by payor and/or patient.
- Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures.
Required Knowledge and Experience:
- Bachelors degree Business or Accounting major is preferred.
- 2 to 6 years of insurance collections experience, 6 years in a US healthcare environment.
