Alliance HealthCare Services

  • Medical Claims Collector I

    Job Locations US-OH-Canton
    ID
    2018-13944
    Category
    Insurance Verification/Billing
    Position Type
    full-time
  • Job Responsibilities

    At Alliance HealthCare Services, our focus is on transforming the customer and patient experience. Vital to our success are the Corporate Team Members who collaborate with clinical, operational, and sales teams in the field. We focus on delivering improved processes, innovative new services, and business solutions that differentiate and advance our comprehensive clinical services—always with our patients’ and customers’ needs in mind.

      

    The Medical Claims Collector I contacts payers for status of payment of outstanding claims, including commercial and government carriers, and patient liabilities in the appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies and submits appropriate and accurate adjustments to accounts. Identifies and refers uncollectible accounts to outside collection agencies or bad debt write off. 

     

    Specific duties include, but are not limited to:

    • Initiate follow-up with insurance companies for payments of pending claims.
    • Appeals denied claims with insurance carriers.
    • Research credit balances to determine if a refund is due.  All EOB’s have to be pulled and a check request form is given to Management for approval before a check is cut.
    • Reviews and interprets contracts and billing.
    • Takes incoming calls from providers or patients meeting service level standards.  
    • Process payments over the phone.
    • Learn the collection system (Intergy) and work flow between other department business partners.  
    • Other duties as required.

    Position Requirements

    • High School Diploma or General Education Degree (GED) required.
    • Minimum of 6 months prior medical billing/collections experience.
    • Experience in healthcare/medical industry preferred.
    • Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information.
    • Experience navigating insurance company web portals.
    • Strong multi-tasking abilities.
    • Strong verbal and written communication skills.
    • Team player with ability to communicate at all levels in the organization and with different types of customers.

    A division of Alliance HealthCare Services (NASDAQ: AIQ), we are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

     

    *LI-SP1

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