Remote Medical Collector - Remote | CareerCircle
Job thumbnail

Remote Medical Collector

Aston Carter

02/21/2022

Posting ID: JP-002661472

×Not Interested
Save Job
Pin drop icon
Remote
Share:Facebook iconTwitter iconLinkedin icon

Description: FULLY REMOTE

Under the direction of the PFS manager (defined below by region), the Commercial Collections Representative II is responsible for performing insurance liability collection and accounts receivable activities for commercial accounts (PPO, HMO, POS, Managed Medicare/Medicaid, etc.) to ensure the timely receipt of insurance liabilities for hospital services. This individual follows up on accounts regularly to verify timely receipt of claim, check claim status, submit required documentation, and track overall claim processing. In addition, this individual identifies functional issues and barriers and reports them to the PFS manager.

Essential Functions:

1. Complete and independently manage account follow-up based on preset follow-up guidelines defined by payor type and account balance:

I. Verify claim is received by commercial payor timely in accordance with the timely filing limits of the contractual agreement and/or state or federal regulations.

II. Monitor accounts receivable daily through worklists and check claim status through payor claims department or online to ensure proper claims processing.

III. Complete periodic payor phone calls to confirm claim status and drive claim resolution as dictated by department collections policies.

IV. Document follow-up activity or pertinent notes (e.g., date of receipt, reference number) within the system of record to track and record overall claim process history.

V. Obtain and submit any necessary documentation to support claim processing if required by the contractual agreement, payor guidelines, or state or federal law.

VI. Report any critical account issues or barriers in the collections process to the Co-Op PFS Manager.

VII. Trend and document ongoing payor issues and notify PFS management.

2. Ensure that all activities related to hospital collection functions meet department requirements, maximize revenue collection, and achieve leading practice levels of performance.

3. Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate.

4. Assist Commercial Collections Representative I staff with daily account questions, issues, or barriers as necessary

5. Act as a knowledgeable resource on commercial collections functions for department staff. (e.g., answer account questions, assist with new staff training, etc.)

Skills:

meditech software, Electronic health record, medical collections, medicare

Top Skills Details:

meditech software,Electronic health record,medical collections,medicare

Additional Skills & Qualifications:

Additional Responsibilities:

1. Review own work for accuracy and completeness prior to end of shift.

2. Meet productivity and quality goals/standards.

3. Adhere to state and federal regulations.

4. Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity.

5. Perform other duties as assigned.

Additional Knowledge / Skills / Abilities:

1. Ten-key touch required.

2. Ability to type 45 WPM.

3. Effective written and verbal communication skills.

4. Knowledge of computer software programs and use of basic office equipment required.

5. Analytical and problem-solving skills required.

6. Quantitative skills required. Ability to calculate expected reimbursement based on contract rates or fee schedules.

7. Knowledge of state and federal regulations that govern commercial plans

8. Knowledge of medical terminology, UB-04 claim form, 835 transaction code set, and familiarity with CPT and ICD-9 coding.

9. Experience in medical management computer applications.

Experience: 3 or more of health care business office experience or related field preferred.

Preferred Position Qualifications:

1. 5 years of collections experience and medical terminology preferred.

2. Bilingual English/Spanish.

Experience Level:

Entry Level

Compensation is tied to the Colorado market for jobs

performed in Colorado. Other locations may be subject to variances based on locations-related factors.

We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification.

Eligibility requirements apply to some benefits and may

depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following:

  • Medical, dental & vision

  • 401(k)/Roth

  • Insurance (Basic/Supplemental Life & AD&D)

  • Short and long-term disability

  • Health & Dependent Care Spending Accounts (HSA & DCFSA)

  • Transportation benefits

  • Employee Assistance Program

  • Time Off/Leave (PTO, Vacation or Sick Leave)

About Aston Carter:

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Contact Information

Recruiter: Stevie Grant

Phone: +17144812110

Email: stgrant@astoncarter.com

Related Courses

Blog