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Collections Representative
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Job Title: Collections Representative
Location: Philadelphia, PA
Work Arrangement: Onsite
Duties:
- Patient A/R Experience in Healthcare (1 Yrs Min)
- Denial Management
- EOBs
- Rejections/ Denial review
- Credit balances
- Payer enrollment
- Open patient A/R follow-up experience
Experience Required:
- Minimum of 1 year; prefer 5-7 years of insurance follow-up, AR collection, denial management for commercial and government payors.
- Anesthesia experience is preferred.
- EPIC experience is necessary.
- Must have insurance follow-up experience, preferably in physician billing and/or anesthesia billing.
Responsibilities:
- Ensure correct and timely reimbursement from third-party payors for services provided by Children s Anesthesiology Associates, Ltd. (CAA).
- Appeal, re-bill, and perform necessary actions to collect revenue due to CAA.
- Involved in other AR-related projects daily.
- Investigate, analyze, identify, and reduce barriers to correct adjudication (e.g., Network Set-Up, Fee Schedules, Denial Management, Contract Compliance).
- Maximize reimbursements through timely follow-up of accounts.
Key Responsibilities:
1. Proven working experience as a Collections/Account Receivable Rep.
2. Solid understanding of insurance follow-up, denials, reimbursements, contracts, and insurance
policies.
3. Investigate Accounts identified as low pays, denials, or otherwise (75% of duties):
- Review accounts in work file/queue and resolve in compliance with CAA s contracts and agreements.
- Contact insurance companies/third parties as needed.
- Comment on actions taken to resolve accounts.
- Analyze and identify barriers to claim submission and processing.
- Ensure timely claim submissions, appeals, and requested information.
- Handle insurance explanations of benefits as required.
- Assist with special projects, audits, and reconciliations.
4. Reconcile credit balances and submit refund requests in accordance with policies (15% of duties).
5. Investigate and submit for approval write-off allowances and adjustments in alignment with CAA s policies (10%).
6. Collaborate professionally with Co-workers and staff in related areas.
7. Meet minimum production and performance targets.
8. Perform daily correspondence.
9. Other duties as assigned.
Skills:
- Minimum 5-7 years of insurance follow-up, AR collection, denial management for commercial
- and government payors.
- Anesthesia experience preferred, EPIC experience necessary.
- Proficient in Microsoft Excel and large data sets.
- Strong analytical, interpersonal, and organizational skills.
- Ability to handle multiple tasks and meet deadlines.
- Excellent phone etiquette; strong customer service skills.
Education:
- High school diploma or equivalent with three years of experience in the medical field, preferably with physician billing/collections.
- Must have insurance follow-up experience.
Compliance Level: 2A, No Covid Vaccination Required
Certifications & Licenses:
- EPIC preferred
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
Report this job Job Title: Collections Representative
Location: Philadelphia, PA
Work Arrangement: Onsite
Duties:
- Patient A/R Experience in Healthcare (1 Yrs Min)
- Denial Management
- EOBs
- Rejections/ Denial review
- Credit balances
- Payer enrollment
- Open patient A/R follow-up experience
Experience Required:
- Minimum of 1 year; prefer 5-7 years of insurance follow-up, AR collection, denial management for commercial and government payors.
- Anesthesia experience is preferred.
- EPIC experience is necessary.
- Must have insurance follow-up experience, preferably in physician billing and/or anesthesia billing.
Responsibilities:
- Ensure correct and timely reimbursement from third-party payors for services provided by Children s Anesthesiology Associates, Ltd. (CAA).
- Appeal, re-bill, and perform necessary actions to collect revenue due to CAA.
- Involved in other AR-related projects daily.
- Investigate, analyze, identify, and reduce barriers to correct adjudication (e.g., Network Set-Up, Fee Schedules, Denial Management, Contract Compliance).
- Maximize reimbursements through timely follow-up of accounts.
Key Responsibilities:
1. Proven working experience as a Collections/Account Receivable Rep.
2. Solid understanding of insurance follow-up, denials, reimbursements, contracts, and insurance
policies.
3. Investigate Accounts identified as low pays, denials, or otherwise (75% of duties):
- Review accounts in work file/queue and resolve in compliance with CAA s contracts and agreements.
- Contact insurance companies/third parties as needed.
- Comment on actions taken to resolve accounts.
- Analyze and identify barriers to claim submission and processing.
- Ensure timely claim submissions, appeals, and requested information.
- Handle insurance explanations of benefits as required.
- Assist with special projects, audits, and reconciliations.
4. Reconcile credit balances and submit refund requests in accordance with policies (15% of duties).
5. Investigate and submit for approval write-off allowances and adjustments in alignment with CAA s policies (10%).
6. Collaborate professionally with Co-workers and staff in related areas.
7. Meet minimum production and performance targets.
8. Perform daily correspondence.
9. Other duties as assigned.
Skills:
- Minimum 5-7 years of insurance follow-up, AR collection, denial management for commercial
- and government payors.
- Anesthesia experience preferred, EPIC experience necessary.
- Proficient in Microsoft Excel and large data sets.
- Strong analytical, interpersonal, and organizational skills.
- Ability to handle multiple tasks and meet deadlines.
- Excellent phone etiquette; strong customer service skills.
Education:
- High school diploma or equivalent with three years of experience in the medical field, preferably with physician billing/collections.
- Must have insurance follow-up experience.
Compliance Level: 2A, No Covid Vaccination Required
Certifications & Licenses:
- EPIC preferred
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
Report this job