Insurance Collections Specialist - Full Time - Houston, TX
3.
0 Quick Apply Full-time 18 hours ago Full Job Description Cenikor is a non-profit organization and one of the largest substance abuse treatment centers in the nation.
We are currently seeking a Full Time Collections Specialist for our Corporate office in the Memorial area of Houston, TX.
JOB
Summary:
The Collections Specialist is responsible for communication with carriers, payors, clients, facilities and management at all levels to get maximum payment on accounts.
Identify and resolve issues or changes to achieve client profitability, as well as complete resolution on denials.
SCHEDULE:
Monday - Friday 8a - 5p
Essential Functions:
Conduct general financial management of patient accounts.
Review coding information for procedures performed and diagnosis on charge, comparing to payor specific coding rules.
Research, analyze and resolve outstanding customer/insurance balances to ensure claims payment.
Work and communicate with supervisor, managers and all insurance staff in regards to claims billing changes or trends.
Appeal and resolve outstanding claims resulting from denials, wrong insurance, etc.
; escalate appeals to all available insurance companies.
A/R collection efforts, file proof of claims and handle legal/ TDI correspondence.
Post insurance & patient payments accurately and assist supervisor/manager in resolving disputes.
Handle patient account inquires by researching, resolving or referring to the manager.
Work directly with patients to resolve past due self-pay balances, and meet deadlines and goals on a consistent basis.
Conduct follow up calls to maintain patient balances and/ or payment arrangements; locate and notify insurance patients and other payers' accounts by mail, telephone, email, and any other means necessary to solicit payment.
Review and document work performed/action taken on AR Aging Report amounts on the over/under payment report; contact payer or patient as appropriate.
Maintain fax logs, phone logs for insurance reference.
Audit contractual adjustments and ensure that the approval process for adjustments is followed.
Prepare, review and send patient statements.
Uphold the core principles of Cenikor's culture and create a positive working environment for all team members.
Be able to effectively communicate the core principles of Cenikor's culture to candidates during interview process.
Perform additional duties as assigned and consistent with the non-exempt functions as defined in this job description.
QUALIFICATIONS FOR THE POSITION:
Skills, Knowledge and Abilities:
Knowledge of medical billing, coding and collections.
Skilled in customer service Excellent listening and phone skills Fast problem solver and able to multi-task Possess excellent organization skills and high attention to detail Ability to work in a team environment Knowledge of Microsoft Office software required, including specific MS Outlook calendar experience.
Ability to consistently uphold the Core Principles of Cenikor's Culture:
Demonstrate mission of service to our clients Positive, respectful communication with both staff and clients Demonstrate self-motivation and perseverance to achieve goals Role model appropriate, professional behaviors including appropriate client boundaries Work effectively as part of a team, helping to set up others for success Education:
High School Diploma or GED required IMPORTANT NOTES:
Drug Free Workplace Equal Opportunity Employer biOzajCpK8 Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
0 Quick Apply Full-time 18 hours ago Full Job Description Cenikor is a non-profit organization and one of the largest substance abuse treatment centers in the nation.
We are currently seeking a Full Time Collections Specialist for our Corporate office in the Memorial area of Houston, TX.
JOB
Summary:
The Collections Specialist is responsible for communication with carriers, payors, clients, facilities and management at all levels to get maximum payment on accounts.
Identify and resolve issues or changes to achieve client profitability, as well as complete resolution on denials.
SCHEDULE:
Monday - Friday 8a - 5p
Essential Functions:
Conduct general financial management of patient accounts.
Review coding information for procedures performed and diagnosis on charge, comparing to payor specific coding rules.
Research, analyze and resolve outstanding customer/insurance balances to ensure claims payment.
Work and communicate with supervisor, managers and all insurance staff in regards to claims billing changes or trends.
Appeal and resolve outstanding claims resulting from denials, wrong insurance, etc.
; escalate appeals to all available insurance companies.
A/R collection efforts, file proof of claims and handle legal/ TDI correspondence.
Post insurance & patient payments accurately and assist supervisor/manager in resolving disputes.
Handle patient account inquires by researching, resolving or referring to the manager.
Work directly with patients to resolve past due self-pay balances, and meet deadlines and goals on a consistent basis.
Conduct follow up calls to maintain patient balances and/ or payment arrangements; locate and notify insurance patients and other payers' accounts by mail, telephone, email, and any other means necessary to solicit payment.
Review and document work performed/action taken on AR Aging Report amounts on the over/under payment report; contact payer or patient as appropriate.
Maintain fax logs, phone logs for insurance reference.
Audit contractual adjustments and ensure that the approval process for adjustments is followed.
Prepare, review and send patient statements.
Uphold the core principles of Cenikor's culture and create a positive working environment for all team members.
Be able to effectively communicate the core principles of Cenikor's culture to candidates during interview process.
Perform additional duties as assigned and consistent with the non-exempt functions as defined in this job description.
QUALIFICATIONS FOR THE POSITION:
Skills, Knowledge and Abilities:
Knowledge of medical billing, coding and collections.
Skilled in customer service Excellent listening and phone skills Fast problem solver and able to multi-task Possess excellent organization skills and high attention to detail Ability to work in a team environment Knowledge of Microsoft Office software required, including specific MS Outlook calendar experience.
Ability to consistently uphold the Core Principles of Cenikor's Culture:
Demonstrate mission of service to our clients Positive, respectful communication with both staff and clients Demonstrate self-motivation and perseverance to achieve goals Role model appropriate, professional behaviors including appropriate client boundaries Work effectively as part of a team, helping to set up others for success Education:
High School Diploma or GED required IMPORTANT NOTES:
Drug Free Workplace Equal Opportunity Employer biOzajCpK8 Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
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