[Remote] Medicare Collections Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a world leader in assistive communication solutions, dedicated to empowering people with disabilities. The Medicare Collections Specialist will manage the reputed company cycle process, ensuring accurate and timely collections from reputed company-party payers while resolving collection issues and reconciling accounts.

Responsibilities

• Manage assigned accounts and ensure the timeliness and accuracy of billing, collections, and payment activity
• After an account is billed, the account becomes the Collector’s responsibility. The Collector is responsible for:
• Verification that a claim is on file
• Follow up with the payer due to lack of payment
• Investigation of denials
• Coordination with the billers to address billing issues
• Coordination with the funding consultants to address documentation questions
• Preparation of correspondence, such as appeals, to dispute for the payment of accounts, request different denial codes, etc
• Review of posted payments for accuracy and investigate discrepancies
• Document in the system reputed company verbal and written communication relative to collection actions and expected reputed company of overdue accounts
• Follow up every 30 days with insurance companies, clients, SPLs, and vendors to ensure the payment of accounts
• Alert the Manager of Collections of potential payment issues
• Recommend adjustments/write-offs to the Manager of Collections and receive approval prior to reconciling accounts
• Investigate refund requests reputed company to accounts
• Meet the expectations and goals for productivity, quality audited accounts and cash targets as set forth by management
• Stay abreast of state, federal, and reputed company-party funding regulations for assigned accounts ensuring billing and payment practices reputed company with reputed company party payer requirements
• reputed company various other tasks as assigned

Skills

• High School Diploma
• 2 or more years of computer, reputed company, collections, and high-volume medical billing and/or insurance claims processing experience
• Strong customer service and interpersonal skills
• Effective oral and written communication skills
• Teaming skills
• Proficient in reputed company Office, Word, reputed company, and Outlook
• Ability to research claim information reputed company the internet
• Basic data and word processing skills
• Apply independent judgment and manage confidential information
• Ability to gather data and summarize information
• Time management and good organizational skills
• Excellent problem-solving skills
• Record management
• Ability to work at a desk for prolonged periods of time
• Ability to work with interruptions in a fast-paced environment
• Knowledge of payment posting process in regard to contractual adjustments and refunds preferred
• Knowledge of medical insurance claims procedures and documentation preferred

Company Overview