Medicare Collections Specialist job at Tobii in PA
Title: Medicare Collections Specialist Location: Remote US-PA Job Description: As a member of our team, you’ll have the power to make it happen. You’ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers’ lives. What you'll do: The Medicare Collections Specialist supports the effective management of the revenue cycle process and ensures the accurate and timely collection of sales to third party payers (including Medicare, Medicaid, Private Insurance, and other funding sources). The Specialist works with insurance companies, clients, and customers to resolve collection issues and reconciles accounts. As an Medicare Collections Specialist, you will be responsible for: Manage assigned accounts and ensure the timeliness and accuracy of billing, collections, and payment activity After an account is billed, the account becomes the Collector’s responsibility. The Collector is responsible for: Verification that a claim is on file Follow up with the payer due to lack of payment Investigation of denials Coordination with the billers to address billing issues Coordination with the funding consultants to address documentation questions Preparation of correspondence, such as appeals, to dispute for the payment of accounts, request different denial codes, etc. Review of posted payments for accuracy and investigate discrepancies Document in the system all verbal and written communication relative to collection actions and expected outcomes of overdue accounts. Follow up every 30 days with insurance companies, clients, SPLs, and vendors to ensure the payment of accounts Alert the Manager of Collections of potential payment issues Recommend adjustments/write-offs to the Manager of Collections and receive approval prior to reconciling accounts Investigate refund requests related to accounts Meet the expectations and goals for productivity, quality audited accounts and cash targets as set forth by management Stay abreast of state, federal, and third-party funding regulations for assigned accounts ensuring billing and payment practices comply with third party payer requirements Perform various other tasks as assigned What you'll bring: High School Diploma 2 or more years of computer, accounting, collections, and high-volume medical billing and/or insurance claims processing experience Knowledge of payment posting process in regard to contractual adjustments and refunds preferred Knowledge of medical insurance claims procedures and documentation preferred Strong customer service and interpersonal skills Effective oral and written communication skills Teaming skills Proficient in Microsoft Office, Word, Excel, and Outlook Ability to research claim information via the internet Basic data and word processing skills Apply independent judgment and manage confidential information Ability to gather data and summarize information Time management and good organizational skills Excellent problem-solving skills Record management
Work Environment
Requirements: Ability to work at a desk for prolonged periods of time Ability to work with interruptions in a fast-paced environment Apply today! We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we’d love to hear from you. Where we stand: We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger. Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.