Collections - Insurance Job at TANYR Healthcare Solutions
TANYR Healthcare LLC
1550 Norwood Drive Ste 300
Hurst, TX 76054
(817) 510-6735
www.tanyrhealthcare.com
Role and Responsibilities:
- Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days.
- Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices.
- Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collection.
- Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 paper and electronic 837p.
- Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
- Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
- Review insurance remittance advice for accuracy. Identify billing errors, short payments, over payments and unpaid claims and resolve accordingly, communicating any needed system changes.
- Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
- Work within specified deadlines and stressful situations.
- Understand and adhere to HIPAA and PHI guidelines and all applicable state and federal regulations and company policies.
- Meet department quality and productivity standards.
- Responsible for professional and effective verbal and written communication with both internal and external customers.
- Work overtime as necessary to meet department goals and objectives.
- Perform other tasks or special projects as assigned or deemed necessary.
Qualifications and Education Requirements:
- High School Diploma or equivalent (GED) required; some college preferred.
- Minimum 1 year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement; home infusion experience preferred.
- Working knowledge of automated billing systems; experience with CareTend, CPR+, and/or Brightree preferred.
- Working knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT, and HCPCS coding preferred.
- Ability to prioritize, problem solve, and multitask.
- Excellent interpersonal, communication, and organizational skills.
- Intermediate or Advanced proficiency with Microsoft Office Suite, specifically MS Word and MS Excel preferred.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- Insurance Reimbursement: 1 year (Required)
Work Location: Remote
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