Medical Collections Assocaite

  • location: Irving, TX
  • type: Contract
  • salary: $20 per hour
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job description

Medical Collections Assocaite

job summary:
The Credit Representative is responsible for supporting the back-end insurance follow-up function for several COEs across the United States. Reporting directly to the Credit Supervisor, the primary goal of the Credit Representative is to complete tasks relating to the resolution of insurance and patient credits associated with hospital accounts receivables. The primary responsibility is to ensure that credits for hospitals and patients are applied accurately and in a timely manner and in accordance with Government and payor regulations.

Primary Responsibilities:

- Reviews all accounts on which credit balances exist and determines reason for the credit balance.

- Identifies accounts on which contractual adjustments are incorrect by working the daily credit balance report. Works with supervisor in identifying contract modeling problems which create credit balance accounts.

- Responds to third party inquiries and works to resolve circumstances that create unwarranted credit balances.

- Maintains all refund documentation in accordance with internal audit requirements.

- Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.

- Comply with all government and third party payers regulatory mandated requirements for billing and collections.

- Ability to maintain confidentiality of all information under HIPPA guidelines.

- Meet departmental productivity and quality standards in timeframe given upon completion of training.

Qualifications:

Requirements:

- High School Diploma or equivalent (GED).

- Computer literacy skills, including the ability to create, save and utilize MS Excel including formulas and creating large spreadsheets, ability to open, email and create appointments in MS Outlook, and the ability to type, create documents and utilize MS Word.

- Experience and working knowledge of UB-04 claim forms.

- Experience with hospital patient accounting systems.

- Understanding of the entire revenue cycle process.

- Knowledge of Revenue and ICD coding language.

- 1+ years of back end revenue cycle experience in a facility and hospital setting.

- Knowledge of Medicaid and Medicare credit balance regulations.

Soft Skills:

- Ability to execute processes efficiently and maintain highest level of quality

- Demonstrates ability to identify and communicate issues

- Enhanced communication and customer service skills.

- Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.

 
location: Irving, Texas
job type: Contract
work hours: 8 to 5
education: High School
experience: 1 Years
 
responsibilities:
The Credit Representative is responsible for supporting the back-end insurance follow-up function for several COEs across the United States. Reporting directly to the Credit Supervisor, the primary goal of the Credit Representative is to complete tasks relating to the resolution of insurance and patient credits associated with hospital accounts receivables. The primary responsibility is to ensure that credits for hospitals and patients are applied accurately and in a timely manner and in accordance with Government and payor regulations.

Primary Responsibilities:

- Reviews all accounts on which credit balances exist and determines reason for the credit balance.

- Identifies accounts on which contractual adjustments are incorrect by working the daily credit balance report. Works with supervisor in identifying contract modeling problems which create credit balance accounts.

- Responds to third party inquiries and works to resolve circumstances that create unwarranted credit balances.

- Maintains all refund documentation in accordance with internal audit requirements.

- Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.

- Comply with all government and third party payers regulatory mandated requirements for billing and collections.

- Ability to maintain confidentiality of all information under HIPPA guidelines.

- Meet departmental productivity and quality standards in timeframe given upon completion of training.

Qualifications:

Requirements:

- High School Diploma or equivalent (GED).

- Computer literacy skills, including the ability to create, save and utilize MS Excel including formulas and creating large spreadsheets, ability to open, email and create appointments in MS Outlook, and the ability to type, create documents and utilize MS Word.

- Experience and working knowledge of UB-04 claim forms.

- Experience with hospital patient accounting systems.

- Understanding of the entire revenue cycle process.

- Knowledge of Revenue and ICD coding language.

- 1+ years of back end revenue cycle experience in a facility and hospital setting.

- Knowledge of Medicaid and Medicare credit balance regulations.

Soft Skills:

- Ability to execute processes efficiently and maintain highest level of quality

- Demonstrates ability to identify and communicate issues

- Enhanced communication and customer service skills.

- Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.

 
qualifications:
The Credit Representative is responsible for supporting the back-end insurance follow-up function for several COEs across the United States. Reporting directly to the Credit Supervisor, the primary goal of the Credit Representative is to complete tasks relating to the resolution of insurance and patient credits associated with hospital accounts receivables. The primary responsibility is to ensure that credits for hospitals and patients are applied accurately and in a timely manner and in accordance with Government and payor regulations.

Primary Responsibilities:

- Reviews all accounts on which credit balances exist and determines reason for the credit balance.

- Identifies accounts on which contractual adjustments are incorrect by working the daily credit balance report. Works with supervisor in identifying contract modeling problems which create credit balance accounts.

- Responds to third party inquiries and works to resolve circumstances that create unwarranted credit balances.

- Maintains all refund documentation in accordance with internal audit requirements.

- Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.

- Comply with all government and third party payers regulatory mandated requirements for billing and collections.

- Ability to maintain confidentiality of all information under HIPPA guidelines.

- Meet departmental productivity and quality standards in timeframe given upon completion of training.

Qualifications:

Requirements:

- High School Diploma or equivalent (GED).

- Computer literacy skills, including the ability to create, save and utilize MS Excel including formulas and creating large spreadsheets, ability to open, email and create appointments in MS Outlook, and the ability to type, create documents and utilize MS Word.

- Experience and working knowledge of UB-04 claim forms.

- Experience with hospital patient accounting systems.

- Understanding of the entire revenue cycle process.

- Knowledge of Revenue and ICD coding language.

- 1+ years of back end revenue cycle experience in a facility and hospital setting.

- Knowledge of Medicaid and Medicare credit balance regulations.

Soft Skills:

- Ability to execute processes efficiently and maintain highest level of quality

- Demonstrates ability to identify and communicate issues

- Enhanced communication and customer service skills.

- Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.

 
skills: Medical Billing
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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