Insurance Collector

Job description

Description Responsibilities and Duties: - Responsible for reviewing, correcting, and releasing Epic Care charges. - Demonstrate strong understanding and utilization of Navicure clearinghouse claims tool and Navicure rejection queue. - Responsible for researching, correcting, and releasing accounts within AFF AFC Claim Edit Billing Work queue. - Demonstrate comprehension and implementation of claim appeal process. - Possess knowledge of insurance, especially Medicare, rules and guidelines. - Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances. - Review assigned accounts within the AFF AFC Follow up and Catch All WQs ensuring outstanding, pending, partially paid, and denied claims are paid in a timely manner. - Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment. - Accurately file confidential correspondence and documentation. - Review, research, and process refund requests as needed. - Demonstrate knowledge of CPT, ICD 10, and procedural modifiers. - Consult supervisor, team members, and appropriate resources to so...