Collections & Billing Agents at Strategy Recruitment Marketing

Job description

Job Summary

• Our client is a leading provider of Business Process Outsourcing which is enabled by IT Support, Software Development and Revenue Cycle Management. Their people play a pivotal role in promoting the success of their business, which is to provide medical billing, medical coding and business analytics services across the United States, thus rapidly furthering their growth.
• Join this energetic team of Collections and Billing Agents and enjoy being at the forefront of further developing their offshore service offering. Reporting into the Collections Supervisor, your key focus will be on ensuring timely reimbursement for hospital billed claims, utilizing their client’s software as you are called upon to deliver on the following duties and responsibilities:
• Daily and timely following up of set processes and procedures on assigned projects and accounts within an automated work list to obtain payment resolution and account status (resolved, legal or disputed) information.
• Immediate and appropriate escalation of payer trends and issues to management which impact cash, aging and processes.
• Accurate account documentation to include clear and pertinent information.
• Contacting of government agencies, third party payers and patients/guarantors via phone, email or online.
• Following established guidelines, professionally communicate (verbal and in writing) with facilities, clients and co-workers.
• Following/maintaining patient, account and client confidentiality at all times, with adherence to HIPAA and Compliance Policy Guidelines.

Requirements:

• We require a Matric/Grade 12, together with a minimum of 6 months of ideally medical field collections (hospital, medical aid and/or insurance) experience and/or college level course working in the medical field with a medical understanding
• Knowledge of Commercial, Third Party Insurance Accounts including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp.
• Solid understanding of Rules and Guidelines governing collection activities
• Knowledge of MS Word and Excel in addition to working accounts in a computerized automated environment.
• Excellent written and verbal communications.