Integrated Oncology Network

AR Insurance Follow-up Collections

Job Title
AR Insurance Follow-up Collections
Job ID
27352532
Location
Nashville,  TN 37205
Other Location
Description

Job Purpose:

The Insurance Follow-up Collector generates revenue by monitoring and pursuing payment on all unpaid and delinquent accounts in a timely manner; serving as a liaison between the Provider, Payors, and Patient with regards to payment collections; and maintaining daily and monthly productivity goals to maximize cash flow.  

Essential Functions:

  • Verification of insurance benefits if missed by front office.
  • Able to research denied CPT codes with comparison to the LCD/NCD requirements.
  • Effectively identifies trend that inhibit timely payment.
  • Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned.
  • Works closely with insurance carriers for reimbursement requirements to ensure payment.
  • Reviews outstanding AR accounts and contacts insurance for reimbursement explanation.
  • Provides clear and accurate documentation of all contacts with any internal or external persons concerning patient accounts.
  • Quickly becomes familiar with duties and performs them independently, accurately, efficiently, promptly, recognizing their importance and relationship to patient care.
  • Consults with appeals department for disputed / denied claims.
  • Works / Understands electronic claim interchange.
  • Understands life cycle of primary and secondary claims.
  • Maintains front office support relationship.
  • Takes incoming calls from insurance carriers and patients.
  • Regular attendance and punctuality.
  • Contributes to team effort by accomplishing related results as needed.
  • Ensures that all processing and reporting deadlines are consistently achieved.
  • Perform any other functions as required by management.

Qualifications and Education Requirements:

  • Minimum 2 years experience in Insurance follow-up.
  • Understanding of managed care contracts and fee schedules, including Medicare and Medicaid.
  • Experience with computerized billing software and interpreting EOBs.
  • Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding.

Preferred Skills:

  • Knowledge of medical terminology.
  • Familiar with Chemotherapy and Radiation Billing.

Required Competencies:

Ability to work in a team environment and be able to multi task. Strong Business and Organizational Competence.  Exceptional Customer Service Skills.  Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking. Ability to maintain a professional, polished image. Ability to communicate effectively, both written and verbal.

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