Reimbursement Collection Specialist (20091114)

Job Duties Include:  

The responsibilities of this position may include all or part of the following: Evaluation of accurate payments received and application to the patient account. Follow-up with responsible parties to ensure the receipt of timely, accurate payments. Assist with collection training. Complete all appeals to payers. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other OCE offices within 48 hours of receipt. Follow up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters per Walgreens-Option Care policy. Follows-up on all denials within 48 hours of receipt. Performs all appeals as necessary. Maintain confidentiality of patient and proprietary information. Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Walgreens-Option Care information.

• High School Diploma or equivalent. 
• Ability to learn medical terminology. 
• Ability to learn computer application software. 
• Ability to  do basic mathematics. 
• Ability to work independently and stay on task.   

Preferred Qualifications:

Prior medical billing experience.   
Technical training in Medical Billing.