Senior Insurance Collections Specialist

Job Details: Position Type: Full Time, Salary Range: $45.00 - $45.00Hourly, Travel Percentage: None, Job Shift: Day (First Shift), POSITION PURPOSE: The Senior Insurance Collector will be responsible for assisting with complex payor issues and denials, researching payor guidelines and all other activities that would require the knowledge and skillsets of a seasoned Commercial Insurance Collections Specialist.

Qualifications

POSITION REQUIREMENTS/QUALIFICATIONS EDUCATION: Bachelor's degree (B.A./B.S.) from four-year college or university; or two to four years related experience and/or training; or equivalent combination of education and experience. Minimum of high school diploma or equivalent required. EXPERIENCE: Minimum of 5 years’ experience in Behavioral Healthcare field with an emphasis on Insurance Collections LICENSURE/CERTIFICATION: None KNOWLEDGE AND TRAINING REQUIRED AT TIME OF HIRE: Knowledge of the Principles and Practices of the discipline.

Knowledge of Joint Commission Standards. Demonstrates Proficiency in Communication & Written skills. Knowledge of State & Federal Statutes Regarding Client Confidentiality laws. Knowledge of Drug-Free Workplace Policies. Knowledge of Workplace Violence Strong communication skills, problem solving and working knowledge of insurance payment methodologies.

Attention to detail with an eye for accuracy. Excellent written and verbal communication skills Knowledge in reading, analyzing, and interpreting common scientific and technical journals, financial reports, and legal documents. Effective in presenting information to top management, public groups, and/or boards of directors.

Knowledge in writing professional emails, formal letters, speeches, and articles for publication that conform to prescribed style and format. Knowledge in calculating figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Knowledge in applying concepts of basic algebra and geometry.

Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency. Ability to prioritize and manage multiple responsibilities. Proficient in using Microsoft Office Products SPECIFIC AREAS OF RESPONSIBILITY TO POSITION Provides continual follow-up within the billing software to ensure claims are received by insurance companies appropriately.

Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals. Create and Maintain Payor Portal Management system – company wide Assist with EFT + ERA setup Assist with loading OON providers with commercial payors – as needed. Assist with special projects assigned by direct report Reviews all aged open claims for collection efforts needed.

Reviews and effectively troubleshoot all known denials and rejections through correspondence or telecommunication. Makes outbound collection calls to commercial payers in a professional manner. Resolves insurance related problems and reduces accounts receivable delinquency, applying professional customer service skills in a timely manner.

Makes demands on insurance due payments in accordance with payment due dates, state and federal regulation. Identifies issues attributing to account delinquency and non-payment and discuss them with direct manager. Reviews and monitors assigned accounts and all applicable collection reports and other insurance due related duties as assigned.

Provides timely follow-up on payment guarantees and claims rebilled for payment. Mails correspondence to customers/insurers to encourage payment of delinquent accounts and make certain scans of all outgoing demands are made. Participates in companywide and departmental meetings. Adheres to all company policies and procedures.

Understands and complies with all HIPAA rules and regulations. Other duties as assigned