"Alerted.org

Job Description

- Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution

- Maintains active communications with insurance carriers and third-party carriers until account is paid.

- Negotiates payment of current and past due accounts by direct telephone and written correspondence.

- Updates patient account information.

- Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.

- Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.

- Manage all assigned worklist daily for assigned insurances.

- Utilize collection techniques to resolve accounts according to company’s policies and procedures.

- Report any coding related denial to the Coding Specialist.

- Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.

Conducts necessary research to ensure proper reimbursement of claims.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

- High School or GED

- Minimum 2+ years of medical insurance collections experience - Denials

o Etna, cigna, united healthcare

- Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)

- Experience with insurance claims and insurance denials

Experience in payor portals and EHR systems - Experience in a gastro specialty, surgery, orthopedics

- Experience with eClinicalWorks

Experience with MA,AL, FL