Position
Medical Biller, Collector & Authorizations Rep
(Remote)
Duties
The biller, collector, authorizations representative is responsible for maximizing the amount of cash collected and minimizing the time period in which it is collected for each assigned division; for ensuring that the amounts collected on each invoice are correct; for ensuring that accounts receivable age is maintained within specified levels; for ensuring that the appropriate information can be provided to physicians on the status of their accounts receivable; and for providing feedback to managers on clean claim requirements.
- Monitors accounts receivable for divisions and payment trends.
- Plans strategies to optimize results for each division/physician.
- Reviews correspondence and denial information to determine why claims have not been paid; contacts payors accordingly.
- Fixes and resubmits claims; writes up adjustments and identifies issues that require attention.
- Monitors success and makes modifications to optimize collections.
- Collects revenue on delinquent accounts from parents, guarantors, and third-party payors.
- Researches and analyzes accounts & payments to determine whether charges were billed properly, and to resolve incorrect information on patient accounts; reverses balance to credit or debit if charges were improperly billed.
- Contacts insurance companies to resolve payment problems; provides information to expedite the collection process.
- Sets-up payment arrangements for self-pay accounts; ensures that payments are received according to agreement and follows-up as necessary when payment is not received.
- Receives and answers inquiries or complaints concerning collection matters; gathers information pertaining to patient accounts for timely resolution of inquiries of complaints.
- Prepares status of delinquent accounts prior to referring them to the Lead or Manager for further action when collection actions have proved unsuccessful.
- Sets-up necessary meetings and prepares correspondence to payors regarding the status on their account. Follows-through until a resolution is made on the account.
- Handle in a professional and confidential manner all correspondence, documentation, and files.
- Courteous and professional communications with parents and payors.
Requirements
- Minimum three (3) years’ experience billing, collections and authorizations experience of physician claims
- Knowledge of CCS, Medi-Cal and Managed Care billing practices required.
- High School Diploma or equivalent required
Additional Information
- Full-Time, Monday – Friday
- Remote Work from Home
IND1