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Revenue Cycle Solutions Rep II (24177)

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Job Snapshot
Location:
Bowling Green, KY 42101 (map it!Map it! )
Employee Type:
Full-Time
Industry:
Other Great Industries
Manages Others:
Not Specified
Job Type:
Health Care
Admin - Clerical
Accounting
Education:
None
Experience:
Not Specified
Travel:
Negligible
Relocation Covered:
No
Post Date:
11/2/2009
Contact Information
Contact:
Recruiter
Ref ID:
24177.812760
Description Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a Third Party Insurance Collections Specialist to join our team in Bowling Green, KY.

Job Summary:
Performs tasks required to ensure the systematic and timely insurance follow-up and resolution of all accounts in assigned inventory. Documents all collection activity in the patient accounting system.

Job Responsibilities:
  • Systematically checks status on outstanding claims either by telephone follow-up or through the payer online system
  • Corrects and resubmits claims when errors are identified through follow-up activity with close attention to policy number, subscriber name, group name/number and billing address
  • Responds timely to payer requests for additional information
  • Coordinates medical record requests as needed
  • Works all correspondence daily within 24 hours of receipt taking requested action in a timely manner to expedite payment
  • Enters clear and concise comments in the patient accounting system, thoroughly documenting all collection activity
  • Sets system reminders for future follow-up
  • Works system reminders daily
  • Follows up all insurance denials within 48 hours of receipt
  • Monitors denials for trends and issues and reports findings to supervisor
  • Ensures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the collections supervisor
  • Works with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department
  • As requested, participates in general or special assignments
  • Attends required training
  • Completes on-line training as assigned

    Required Skills:
  • 1+ years of healthcare receivables experience

  • Demonstrated knowledge of third party billing/collections procedures
  • Knowledge of claims review and analysis

  • Knowledge of Medicare, Medicaid and HMO contracts

  • Demonstrated skill and typing ability sufficient to function easily in a variety of hospital patient accounting and billing systems (SMARTS, FISS, Epic, ePremis)
  • Good oral and written communication skills

  • Good organization and time management skills

  • Computer literate

  • Ability to read, write and follow directions

  • Ability to establish priorities effectively

  • Self-directed and capable of working without direct supervision
  • Ability to work well with others

  • Dependable in both production and attendance


    • Minimum Educational Requirements:
  • High school diploma or equivalent


    • Perot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.
    Requirements See Above
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