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Title

Medical Insurance Collector 

Category Billing  
Description

The West Valley's leading cardiology group is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice.

Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients.

  • Competitive wages
  • Uniform/Scrub Allowance
  • 7 Company Paid Holidays*
  • Employee Medical coverage option as low as $23.00 per paycheck*
  • Dental & Vision*
  • Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental*
  • 401(k) retirement plan
  • Paid Time Off*
  • Paid Sick Time
  • Employee Assistance & Discount Programs

*Available to full-time, regular employees*

POSITION SUMMARY:

The AR/Collections Specialist position is responsible for assuring insurance claims are paid in a timely manner and performs collecting, reconciliation, research, correspondence, and independent problem solving. Additionally, this position maybe required to travel to all office locations to meet business needs, as requested.

ESSENTIAL JOB DUTIES:

  • Responsible for collecting on accounts per department protocols.
  • Processes claim appeals per departmental protocols.
  • Reviews claim status daily to assure claim follow-up with payers.
  • Analyze and research unpaid claims.
  • Reprocess and submit accurate claims to payers.
  • Reconcile accounts to determine underpayment, overpayment, or contractual adjustment correction.
  • Manage aging reports.
  • Batch and submit daily claims.
  • Reach out to insurance companies regarding any discrepancy on unpaid/denied/rejected claims.
  • Utilizes technical ability and understanding of applicable insurance contracts and regulations.
  • Identifies and communicates any trends and carrier issues relating to billing and reimbursements.
  • Prepares paper claims (CMS-1500) and electronic claim submissions for secondary filing.
  • Processes inbound/outbound calls from insurance and patients with billing questions.
  • Research and communicate any billing changes to achieve optimum performance.
  • Update or add insurance carriers to the system.
  • Respond to emails, flags, and overhead pages for billing related questions.
  • Maintains patient confidentiality by following HIPAA policies and procedures.
  • Other duties as assigned per the need of the organization and within scope of position.
 
Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of Microsoft Office products.
  • Knowledge of Medical Billing, CPT and ICD-9/ICD-10, and HCPCS codes.
  • Knowledge insurance carrier contracts.
  • Knowledge of HIPAA regulations.
  • Knowledge of medical terminology.
  • Ability to work in a fast-paced environment and work well under pressure.
  • Ability to work with currency and make change.
  • Skill in working with an EMR system.
  • Skill in communicating with insurance carriers as well as patients to get claims paid and collect any account balances.
  • Ability to maintain confidentiality and maintain professionalism.

EDUCATION AND/OR EXPERIENCE:

  • Two to three years of medical insurance billing and collections experience.
  • Proficiency in researching data for analysis and closure in the account receivable arena.
  • Excellent customer service skills.
  • Excellent verbal and written communication skills.
  • Excellent analytical and problem-solving skills.
  • Must possess a strong attention to detail.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical/work environment functions apply:

  • Sit for extend periods of time, stand, talk, bend or hear.
  • Type, utilizing a computer keyboard and mouse.
  • May lift up to 25 lbs.
  • Utilize a multi-line telephone system.
 
Full-Time/Part-Time Full-Time  
Shift Days  
Minimum Education  
Travel Requirements  
Exempt/Non-Exempt Non-Exempt  
Location Peoria Office  
About the Organization Cardiac Solutions is a medical, physician-owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in YOUR total heart care. Our board-certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands.

With our intensive educational opportunities through nurse-directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you not only build a relationship with your physician, but with the many members of our TEAM, all of whom are focused on YOUR heart health.  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://JOSEPHACAPLANMDPCdbaCardiacSolutions.appone.com



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