North Olmsted, OH 44070
Performs Accounts Receivable collection duties as assigned by Billing Group Supervisor.
Generates and monitors all work lists specific to the Collections Role: the Remittance Discrepancy Work List for Reimbursement, the Commercial Insurance Aging Work List for unpaid Commercial claims follow-up, the Medicare Insurance Aging Work List for unpaid Medicare claims follow-up, and the Overdue Guarantor Aging Work List for guarantor balances follow-up.
Identifies need for insurance changes and completes required forms to initiate request.
Transfers balances to correct payer.
Initiates re-bill of unpaid or underpaid claims.
Processes non cash related adjustments per established guidelines.
Initiates appeal requests per payer guidelines.
Notifies the legal department and places collection activity on hold when a bankruptcy notice is received per FMS bankruptcy policy.
Completes and documents all follow-up activities in eCube Financials per established guidelines.
Ensures that all Medical Justification Requests are submitted within the established timeline and per the Additional Development Request (ADR) Policy.
Establishes payer filing limits to ensure that follow-up is completed within the established timeline and claims paid so that denials are not received for claims filed untimely. If necessary, prepares bad debt write-off package with supporting documentation per established guidelines.
High School Diploma or Equivalent.
1-2 years healthcare billing or collections experience required with a High School Diploma; no experience required with a Healthcare Certificate or 2 or 4 year Degree.
Good computer skills with working knowledge of word processing, spreadsheet and email applications.
Detail oriented with good analytical and organizational skills.
Good interpersonal skills with the ability to work cohesively within a team environment.
Possess a positive, enthusiastic and energetic attitude.
Excellent oral and written communication skills to effectively communicate with all levels of management.