Healthcare Collections Specialist – Aston Carter Remote Jobs

Job Type: Healthcare Collections Specialist from home
Location: San Antonio work from home
Company: Aston Carter

The healthcare collections specialist is in charge of conducting research, analyzing, and resolving disputes involving contractual agreements and non-standard billing arrangements with hospitals, group purchasing organizations, nursing homes, and other healthcare service providers needing durable medical equipment and related ancillary medical supplies. These disputes can involve high volume, complex customer accounts receivable, order entry exceptions, and disputes involving contractual agreements and non-standard billing arrangements.

Responsibilities:

• Examines, examines, and reconciles initial Order Entry and Accounts Receivable exceptions and discrepancies to guarantee correct billing and prompt payment in accordance with KCI business practice and time-sensitive rules.
• Executes prolonged resolution actions on more complex exceptions and discrepancies, including involving KCI USA field workers and the Finance Department, National Contact Center, Contracts Area, and other partners to gather the relevant transaction information. identifies and removes obstacles to account collection using advanced understanding of accounts receivable procedures and information systems.
• During all resolution-related actions, facilitates substantial professional-level verbal and written communications to a wide range of internal and external contacts while adhering to tight federal credit criteria and fully satisfying Sarbanes-Oxley regulatory requirements.
• Conducts in-depth research on and verification of all necessary specific transactional information, including contract terms and service dates, initial order entry information, purchase order information, contract information (such as price breaks, volume commitment levels, current and actual volume levels), and contract information such as price breaks.
• Uses ongoing autonomy in decision-making and bases it on familiarity and comprehension of various contractual pricing systems. assists independent efforts to ensure that purchases and activities are within stated contractual restrictions, including identifying and adhering to different dynamic and goodwill price schemes.
• Takes part in any and all acceptable work activities that management deems appropriate and assigns.
• Adheres to, supports, and upholds all company guidelines.

Requirements:

Skills: medical billing, medical claims processing, customer service, accounts receivable, accounting, medical terminology, and medical records

Top Skills Information: Accounts payable, collection, and accounting

ESSENTIAL QUALIFICATIONS

• High School Graduation

• The capacity to uphold discretion and secrecy in commercial dealings and use strong business judgment.

• Three years of expertise in medical collections

• The capacity to identify and address complicated A/R discrepancies

• Exhibits an understanding of fundamental accounting concepts.

• The ability to utilize Microsoft Word and Excel on a computer.

• Outstanding telephone manners and customer service abilities.

• Exhibits strong negotiation and problem-solving abilities.

MANAGER FEEDBACK – NEEDED EXPERIENCE

• 3 to 5 years of medical collections and A/R experience (Manager is OK with less experience, as long as candidate has experience in Insurance Collections)
• Denials experience – How to investigate, correct, and resubmit an insurance claim after it has been turned down for payment
• Understanding of Health Insurance Claim Forms, Managed Care, Medicare, Medicaid, and HIPPA (CMS 1500. Form)
• A firm grasp of how collections operate
• Read and comprehend the Benefits Explanation (EOB)
• Possess knowledge of medial records and RXs
• The candidate will work with all payers and insurance plans, not only Texas; they must be flexible and willing to search up provider manuals.
• NO debt collection efforts
• Will contact insurance providers rather than persons or facilities.
• Requires at least two years working in a medical setting, such as a hospital or doctor’s office.
• Appealing medical records
• A positive outlook and a willingness to learn are required;
• Previous insurance company appeals experience

ESSENTIAL ACTIVITIES:

Over 95% of the time involves repetitive keyboarding, and 60% of the time involves phone use.

The obligations and responsibilities carried out are not entirely covered by the information provided above. There is no contract or agreement regarding employment in this job description. This job description is subject to change at any time without prior notification at the sole discretion of management.