Collections Specialist

The Medicare Collection Specialist is responsible to analyze and interpret claims are accurately sent to insurance companies and performs follow up with Medicare. SNF, and Hospice payors on unpaid claims.

Duties include

• Responsible for contacting Medicare and utilizing Medicare's DDE system to follow up on outstanding patient claims, verify coverage, resolve billing discrepancies, and, ensuring timely and accurate reimbursements from Medicare, SNF, and Hospice.
• Monitoring claims status from Medicare and/or other payors including SNF and Hospice.
• Research denials and rejected claims from Medicare, SNF, and Hospice.
• When necessary, coordinate and clarifies information that seems incomplete or is lacking proper claims adjudication.
• Process and respond to correspondences related to patient accounts.
• Receive Inbound calls from patients for claim reconciliation.
• Interpret remits/ explanation of payments.

Qualifications

• Previous experience in a medical office setting, hospital, and/ or experience with an Electronic Medical records is encouraged with 1+years of working with Medicare rules and guidelines.
• Understanding of medical terminology is encouraged.
• Ability to learn quickly and work with minimal supervision.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.
• Proficient computer skills are necessary.