Insurance AR Collector

The Collector is a goal-oriented, revenue-driven, highly accurate and motivated professional. Primary duties include but are not limited to consistently follow up on unpaid claims utilizing monthly aging reports, filing appeals when appropriate to obtain maximum reimbursement, establish and maintain strong relationships with providers, patients, and fellow staff. Secondary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information.

The successful candidate will be flexible and be able to multi-task in a fast-paced, high-volume setting. Prior experience in a Healthcare/Managed Care environment is crucial for success in this role. This position is located at our Revenue Cycle Office in Atlanta and reports to the AR Supervisor.

Primary Job Function:

• Communicate daily with Team Leader/Billing and Collections Supervisor.
• Provide excellent customer service in all interactions, such as when working with Patient Account Representative, patients, payors and center staff.
• Work each account to its conclusion, including but not limited to reviewing and following up payment denials, contacting insurance carriers for payment resolution, filing appeals, submitting insurance claims to clearing house or individual insurance companies, retracting claims, and processing write offs/adjustments for non-payable charges according to payer contract.
• Enter information necessary for insurance claims such as patient, insurance ID, diagnosis, treatment codes, modifiers, and provider information. Ensure claim information is complete and accurate.
• Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
• Check insurance payments for accuracy and compliance with contract discount.
• For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer. Respond to inquiries from insurance companies, patients, and providers.
• Assist the Patient Accounts Representative team in taking patient phone calls.

Note: this job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.

Qualifications:

• High School Diploma or GED required  - ​​Associate degree in Business Administration or related field preferred
• 2 years Medical Billing experience required
• 1 year of medical call center, customer service required
• Ability to read, interpret and explain EOB's to patients and why they are responsible for the balance 
• CPAR – Certified Patient Account Representative preferred
• Electronic Medical records experience is required, Centricity is preferred
• Hands on knowledge of CPT and ICD codes
• Excellent phone, communication, organizational skills, computer skills and mathematical skills
• Ability to maintain patient confidentiality
• Experience with Microsoft Excel and Word
• Ability to represent the Department in a professional manner when interacting with patients, guests, physicians and their staff 
• Ability to handle service issues professionally
• Ability to follow through with customers
• Ability to communicate effectively to patients about their financial aspects of their care.
• Ability to type proficiently
• Ability to function effectively as extension of the Piedmont Cancer Institute 
• Be flexible and open-minded in thought processes
• Maintain focus under pressure 
• Share relevant information with other employees
• Volunteer to assist others when time permits
• Ability to understand basic medical terminology
• Ability to calculate deductible and co-insurance correctly
• Ability to read and understand carrier Explanation of Benefits

HIPAA Requirements:

The Collector will have access to PHI in the course of his/her duties. The Collector uses PHI for all aspects of billing, patient’s accounts and communications with insurance companies. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access to: all information in the practice management system, the full medical record, end of day reports from the practice management system, encounter forms, all communications from insurance companies, all collections information.

Equal Opportunity Employment

PCI is an equal employment opportunity employer and complies with all applicable laws relating to discrimination against qualified applicants or employees in hiring or in any decision affecting job status, pay, or any other terms and conditions of employment based on race, color, creed, religion, national origin, sex, marital status, familial status, disability, sexual orientation, age, or other applicable protected classes.

Job Type: Full-time

Pay: From $26.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Are you available to work on-site? This is NOT a remote opportunity.

Ability to Relocate:

• Atlanta, GA 30309: Relocate before starting work (Required)

Work Location: In person