Collections Specialist

Job Description

Job Description

Under the supervision of the Director of Revenue Cycle or designee, performs patient account follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.

Duties and Responsibilities :

• Insurance follow-up, as assigned
• Contact insurance carriers regarding outstanding balances until resolution
• Resubmit claims with the appropriate remarks and / or attachments as needed
• File insurance reconsideration letter for payment and / or denial disputes
• Validate accounts for accurate payments, discounts, and contractual adjustments
• Reply to insurance carrier correspondence as appropriate
• Run insurance eligibility and correct claim before resubmission as needed
• Pull supporting documents for annual regulatory audits, as needed
• Ensure credit balance and refund requests are reviewed and resolved timely
• Answer in-coming calls resolving patient and / or insurance issues timely
• Assist with other duties as assigned, within skill sets and abilities

Education

Experience

Location :

Westchester area / Miami, FL

Must clear background and drug test required.