Collections Representative

Job description

Collections Representative 260000R0 Description Follow-up with insurance carriers, include Medicaid/Medicare, to facilitate appropriate reimbursement for Children's hospital and physician services. Investigate reasons for non-payment and collect information and provide necessary documentation to insurance carriers. Write letters of appeal to support payment of denied claims. Document activities and contacts in systems. Develop detailed understanding of assigned managed care contractor and payor requirements. Track and report payment trends with assigned carriers. Qualifications Minimum Education: High School Diploma or GED (Required) Minimum Work Experience: 1 year Experience in hospital/physicians collections (Required) Required Skills/Knowledge: Knowledge of billing with a third party payors CPT/HCPS codes ICD 9/10 Microsoft 2010 Intermediate Excel Ability to multitask Develop knowledge of internal billing systems to research denials, appeals and follow-up action. Excellent Customer Service Skills. Functional Accountabilities: Appeal Process for Denied Claims: - Receive denial correspondence from insurance companies via mail or payment posting process indicating that claims are n...