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

Job summary

Accounting

Work model

Fully remote

Only United States

1 month ago

Job description

Job Description

Hospital Collector

The Hospital Collector is responsible for providing 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.
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 detailed 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 online 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 reverses contractuals as needed.
Ensures 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.

Requirements:

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

Experience:

Minimum 2 years of hospital billing and collection experience to include Commercial, Managed Care, Medicare, and Medicaid across all states.
Microsoft Excel: 2 years (Preferred).