Healthcare Accounts Receivable Coordinator
2 weeks ago
Insurance Payment Specialist for Prestige Staffing
Competitive Pay: $17- $19/hr. Based on Experience
Work Location: On-Site
• Assignment Duration: 90 days
• Work Environment: On-site
• Schedule: Monday to Friday, 8am-4:30pm
• Essential Skills: Expertise in Commercial and Government Insurance Collections; Proficiency in EPIC and Excel; Strong Interpersonal Skills; Ability to Handle High Call Volumes
As an Insurance Payment Specialist, you will engage in collection activities for designated accounts.
You will communicate with insurance company representatives via phone or written correspondence to rectify inaccurate insurance payments and penalties in accordance with Managed Care agreements.
You will maintain detailed collection records within the accounts receivable system.
Your responsibilities will include contacting insurance companies to address payment issues and penalties owed in line with Managed Care contracts.
You will also check the status of claims, appeal or dispute payments, and penalties through direct communication with insurance representatives.
A solid understanding of CPT codes, contracting, per diem rates, and other relevant payment methodologies in the healthcare sector is essential.
You will ensure that collection files are meticulously maintained, entering comprehensive records necessary for effective follow-up.
Additionally, you will process accounts for write-off and legal action, conducting in-depth research and calculations based on Managed Care Rate Grids and Contracts to ascertain accurate amounts due.
Data entry into Patient Accounting systems and Access databases will be required to monitor payments and penalties. You will prepare legal documentation to refer accounts to the Managed Care legal team for those deemed uncollectable.
Through careful review, you will verify that account balances are accurate and rectify any contractual or payment discrepancies.
You will also receive, review, and respond to correspondence related to the accounts.
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