FULLY REMOTE- Hospital A/R Collections Specialist - Medicare/DDE

Job Description

Hospital Collector The Hospital Collector is responsible to provide timely verification of Medicare and insurance benefits on all referrals of potential patients and reviews reports to ensure accurate billing.

• Works with staff to ensure accurate admission information is captured

-Basic understanding of medical terminology -Understand insurance denials. -Monitor and trend denials, appeals and resolutions from insurance carriers

• Completes timely verification of Medicare and insurance benefits on referrals identified as potential patients
• Coordinates pre-certifications and insurance verification for all patients
• Bills appropriate payer in accordance with the requirements of the payer being billed
• Conducts timely follow-up on all accounts
• Manages detail authorization information from insurance companies
• Works with CMS system (DDE) to identify the prompt flow of accounts through editing, suspense and RTP status
• Proficient in utilizing a claims management system
• Corrects accounts on-line for faster processing
• Manages cash collections
• Maintains unbilled days at the established corporate goal
• Maintains bad debt at the established corporate goal
• Ensures Credit Balance Report is worked daily and quarterly: refunds patients and reverse contractuals as needed
• Insures that all charges from the acute facility are correctly and timely entered on the patient’s account
• Compiles and provides accurate reports of monthly, quarterly and annual AR statistics
• Keeps abreast of developments in Medicare, Medicaid, and insurance admission and billing requirements Experience Minimum 2 years hospital billing and collection experience to include Commercial, Managed Care, Medicare and Medicaid across all states

Job Type: Full-time Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Education:

• High school or equivalent (Preferred)

Experience:

• Microsoft Excel: 2 years (Preferred)

Work Location: Remote