Kforce has a client seeking a Collections Specialist in Centennial, CO.Responsibilities:
Ensure daily accomplishments work towards company goals for cash collections and Account 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 collections
Research assigned correspondence; Take necessary action to resolve requested information in a timely manner; establish appropriate follow up
Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837
Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions
Negotiate payment plans with patients in accordance with company collection policies
Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel
Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments 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
Interact with third party collection agencies
Communicate consistently and professionally with other Amerita employees
Work within specified deadlines and stressful situations
Work overtime when necessary to meet department goals and objectives
REQUIREMENTS:
High School diploma/GED or equivalent required; Some college a plus
A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Working knowledge of automated billing systems; Experience with CPR+ preferred
Working knowledge and application of metric measurements, and basic accounting practices
Solid Microsoft Office skills required, including Word, Excel and Outlook
Ability to type 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.