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Claims Collection Representative
2 months ago
Insurance Payment Specialist at Prestige Staffing
Compensation: $17- $19/hr. Based on Experience
Work Environment: On-Site
Assignment Duration: 90 days
Work Schedule: Monday to Friday, 8 AM - 4:30 PM
Key Qualifications:
• Proficient in collecting payments from commercial and government insurance
• Experience with EPIC and Excel
• Strong interpersonal skills
• Ability to manage high call volumes
As an Insurance Payment Specialist, you will be responsible for executing collection activities for designated accounts. Your role will involve:
- Contacting insurance company representatives via phone or written communication to rectify inaccurate insurance payments and penalties in line with Managed Care agreements.
- Maintaining comprehensive collection records within the accounts receivable system.
- Engaging with insurance companies to address payment challenges and penalties owed.
- Checking the status of claims, appealing or disputing payments and penalties through effective communication.
- Possessing knowledge of CPT codes, contracting, per diems, and other relevant payment methodologies in the healthcare sector.
- Conducting thorough research and calculations based on Managed Care Rate Grids and Contracts to ascertain the correct amounts due.
- Entering data into Patient Accounting systems and databases to monitor payments and penalties.
- Preparing legal documentation for accounts that are deemed uncollectable.
- Ensuring the accuracy of account balances and correcting any discrepancies in contractual or payment entries.
- Reviewing and responding to correspondence related to accounts diligently.
This position is vital in ensuring the financial health of the organization through effective collections and management of insurance accounts.