Insurance Collector
Ankle and Foot Centers of Georgia LLC
Peachtree City, Georgia
Full-time | On-site
Work facility: Not Specified
Job Description
Description
SUMMARY/OBJECTIVE
The Insurance Collector is responsible for contacting insurance companies to negotiate denials and appeal claims that have been denied from office visits and clinical procedures. All employees are expected to exhibit professional, ethical and respectful behavior in accordance with the company's mission, vision and values.
ESSENTIAL FUNCTIONS
Responsible for reviewing, correcting and releasing Epic Care charges
Demonstrate strong understanding and utilization of Navicure clearinghouse claims tool and Navicure rejection queue
Responsible for researching, correcting and releasing accounts within AFF AFC Claim Edit Billing Work queue
Demonstrate comprehension and implementation of claim appeal process
Knowledge of insurance processes and Medicare rules and guidelines
Identify insurance company or proper party (patient) to be billed secondary or tertiary insurances
Communicate with health care providers, patients, insurance claim representatives and other parties to facilitate payment
Accurately file confidential correspondence and documentation
Review, research and process refund requests as needed
Demonstrate knowledge of CPT, ICD 10 and procedural modifiers
Consult with supervisor, team members and appropriate resources to solve billing and collection questions and issues
Comply with the Health Insurance Portability and Accountability Act (HIPAA) in protecting patient privacy
Additional job related duties or projects as needed
COMPETENCIES
Effective communication skills
Teamwork oriented
Initiative
Proficient computer skills
Ethical conduct
Proficient typing skills
Requirements
WORK ENVIRONMENT
This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
PHYSICAL DEMANDS
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly to talk and listen. This is largely a sedentary role; however, there may be times of standing. Some bending, lifting of 5 to 10 lbs and routine computer usage.
POSITION TYPE AND EXPECTED HOURS
This is a full time position. Days and hours of work are Monday through Friday 8:30 a.m. to 5:30 p.m. Occasional evening and weekend work may be required as job duties demand.
TRAVEL
Some travel may be required based on the company needs and as job duties demand.
REQUIRED EDUCATION AND EXPERIENCE
High School diploma or equivalent
Two to three years of experience in the healthcare industry
PREFERRED EDUCATION AND EXPERIENCE
Medical Billing or Coding Certification
Two to three years of experience in medical billing/coding