Insurance A/r Collector

2 weeks ago

Gilbert, United States Ironwood Cancer & Research Centers Full time

**Ironwood Cancer & Research Centers** has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.

**Mission Statement**: To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.

**Overview**: We are currently looking for qualified and experienced Medical Insurance A/R Collectors. The A/R Collector will be responsible for the following up on outstanding accounts and reviewing all open claims and aging reports. This is a full time position working 40 hours per week, Monday - Friday schedule. This position is located in our Gilbert, Arizona office.

**Essential Duties and Responsibilities**:

- Complete all daily, weekly and monthly checklists. Weekly reports to supervisor.
- Reviews accounts and/or follow-up documents for outstanding accounts receivable issues.
- Review Aging (60+) Reports.
- Reviews and appeals unpaid denied claims. Works oldest and largest amounts first.
- Contacts patient’s insurance and/or third party organizations by telephone, online, correspondence or meetings to resolve issues impairing reimbursement and secure proper reimbursement for billed services.
- Performs accurate and timely appeals via phone or written to ensure accurate payer fee schedule reimbursements obtained for all services performed.
- Reviews payer websites for updates regularly and reports to supervisors or other staff as needed.
- Communicates to physicians, nurses, financial counselors or other employees in a professional manner for any patient payer issues affecting patient care.
- Documents in patient accounts notes timely.
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits.

**Knowledge and Skills**:

- Working knowledge of NCCN guidelines and CCI edits.
- Knowledge of appealing claims with payers chemotherapy related drugs, supplies utilized and SNF, LTC and Hospice in relation to insurance benefits.
- Knowledge of governmental, legal and regulatory provisions related to collection activities.
- Knowledge of CPT, Dx, HCPCS coding a plus.
- Knowledge of basic mathematics.
- Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.
- Knowledge of medical terminology.

**Education and Qualifications**:

- Minimum of 3 years in the healthcare reimbursement field.

We offer a competitive salary and a comprehensive benefit package including health insurance, 401(k) and a caring work environment. We are an E.O.E.

**Benefits**:

- 401(k) matching
- Employee assistance program
- Flexible spending account

Schedule:

- 8 hour shift
- Monday to Friday

Work setting:

- Office

Application Question(s):

- What are you salary expectations?

**Experience**:

- Medical billing: 2 years (required)

Work Location: In person

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