Frederick, MD, USA
5 days ago
Collection Specialist
Summary The Collection Specalist prepares and processes various insurance claims. Verifies data by conferring with appropriate agency and/or external personnel on a daily basis Responsibilities • Finance - Prepares and processes various insurance claims. Verifies data by conferring w ith appropriate agency and/or external personnel on a daily basis. • Finance - Creates and processes electronic claims submission for various payers on a daily basis. • Quality - Researches any error claims and makes necessary corrections for clean claim production and submission on an as needed basis. • Finance - Review s accounts receivable on a daily basis and performs follow -up on delinquent accounts according to established policies and procedures. Recommends departmental/agency corrective action as required. • Quality - Receives, investigates, and responds to inquiries from payors and/or agencies concerning accounts receivable activity according to established polices and procedures on a regular basis. • Quality - Maintains and develops accounts receivable schedules to track issues and resolutions for ease of reporting on a monthly basis. • People - Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner. • Quality - Problem solves independently before referring problems to the Supervisor/Manager for resolution. • Service - Performs similar, comparable, or related duties as may be required or assigned. Education and Experience Formal Education: High School Diploma or equivalent Experience: 1 year Medical billing/collections experience Home Health billing/collections experience Excellent oral and w ritten communication Excellent organizational and analytical Basic PC skills including PC based applications (MS W ord, Excel). Mathematical
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