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Insurance Collections Representative (Remote Dbo)
Company | Huron |
Address | Chicago, IL, United States |
Employment type | FULL_TIME |
Salary | |
Category | Business Consulting and Services |
Expires | 2023-08-22 |
Posted at | 9 months ago |
The Opportunity
- Job Summary:
- The Insurance Collections Representative will report to an HMS Manager
- Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies
- Other duties and responsibilities as assigned.
- Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer
- Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress
- Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement
- Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R
- Duties and Responsibilities:
- Reporting and Supervision:
- Effectively handles all communications, including telephone, electronic, and paper correspondence from payers and departments within the business office
- Reports all identified compliance risks to appropriate leadership
- Candidate Requirement:
- Broad Knowledge of Government Programs and Insurance Regulations
- Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle
- Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements
- Knowledge, Skill, and Ability Requirements
- Ability to interact with internal and external customers in a professional manner
- Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
- Requires the use of independent judgment, discretion and decision making abilities
- Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible
- May be requested to work overtime and/or weekends to fulfil client requirements
- Ability to pay close attention to details; strong follow-up and follow-through skills
- This job operates in a professional office environment.
- This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
- This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.
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