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Hmo Insurance Collections Specialist

Company

Corridor

Address , Remote
Employment type
Salary $20 - $25 an hour
Expires 2023-06-25
Posted at 1 year ago
Job Description
Comprehensive A/R Solutions is a Corridor company, a market leading provider of revenue cycle management (RCM) solutions to Skilled Nursing Facilities (SNFs). We have a holistic approach to accounts receivable that encompasses every aspect of A/R management, from the point of admission to collections. To learn more about our company please visit us at https://comphcs.com.
The Comprehensive goal is to maximize our clients’ revenues through stewardship of the revenue cycle that they entrust to us, teamwork within our department and throughout the company, and integrity guiding all our actions.
We are seeking a full-time HMO Insurance Collections Specialist who will be responsible to follow up on unpaid claims to ensure proper financial reimbursement from insurance companies.

Responsibilities Include:


Candidate will track unpaid claims, denied claims, discrepancies and the like with various insurance companies.
  • Thorough understanding of all common and uncommon denials
  • Working on all denied/partially paid claims until full payment is received
  • Aiming for 99% collections
  • Taking time to “clean up” balances by writing off rates/NAMI’s/other adjustments
  • Understanding when to forward a case to the biller/tracker
  • Understanding how the higher dollar balances impact our collection rate and focus
  • Working in a time-efficient manner to cover all denied claim from assigned homes
Qualifications:
  • Interpersonal skills/expectations include: Excellent communication skills. Effective telephone skills a must.
  • Persistence and perseverance a must.
  • Organization skills/expectations include: Attention to detail necessary.
Education/Experience: High School or equivalent
Computer Skills: Familiar with Microsoft Office
Work Schedule:
  • 8-hour shift
  • Monday to Friday
Work Location: Remote
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Paid time off
  • Life insurance
**Willing to train
**Must provide own equipment
The above job description is not intended to be an all-inclusive list of duties and standards of the position.