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Claims Recovery Collector

The CSI Companies Irving Full-Time
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The CSI Companies, Inc, a leading National Professional staffing agency is currently hiring a Claims Recovery Collector.  As the claims recovery collector you will be responsible for recovering payments from commercial insurance carriers who should have paid primary to the Medicaid agency. 

This is a contract role that starts in late July, and will continue through the end of the year.  It's full time, business hours. 

Essential Responsibilities:

- Confer with carriers by telephone or use Web sites to determine member eligibility and claim status.

- Assess denials, pursue appeals or close claims when appropriate.

- Update case management system with proper noting of actions and appeal/denial information.

- Respond to carrier telephone, fax and e-mail inquiries regarding outstanding claims.

- Sort and file correspondence.

- Mail form letters to carriers to affect payment of outstanding claims

- Contact providers to obtain additional information and/or documentation to resolve unpaid claims.

- Manage a weekly aging report.

- Responsible for achieving high recoveries against a portfolio of claims.

- Ensure that payers adhere to laws regarding timely filing of claims

- Pursue each outstanding account to reach maximum reimbursement by working with subject matter experts to resolve challenging claims

- Develop recovery strategies with each payer

Preferred Knowledge, Skills and Abilities:

- Basic understanding of third-party billing and/or claims processing 

.- Ability to use critical thinking skills.

- Possess good customer service skills.- Ability to adapt to change.

- Ability to manage time effectively and multi-task.

- Ability to prioritize work.- Ability to perform basic calculations.

- Ability to work proficiently with Microsoft Windows, Word and have basic knowledge of Excel.

- Ability to perform well in a team environment to achieve business goals.

Minimum Education:

High School Diploma or GED required, Associates degree preferred

Minimum Related Work Experience:

- 1 year call center experience

- Ability to interpret an Explanation of Benefits (EOB) and UB-04 claim form required

- DSM-IV, CPT, HCPCS, and CMS-1500 preferred

 

Skills required

Confidentiality
Finance
Leasing (Contract Law)
Collections
Loans
Communications

Location

Salary Estimator

Based on Job Title, Location and Skills
$45K
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Claims Recovery Collector
Estimated Salary: $44K
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Job ID: 45516

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About The CSI Companies
At The CSI Companies, we provide comprehensive staffing solutions to companies nationwide through our four specialty divisions:

• CSI Financial
• CSI Healthcare IT
• CSI Professional
• CSI Tech

In 2010, The CSI Companies became a part of Recruit Global Staffing, active in Asia, Europe, North America and Oceania. Recruit Global Staffing is a leading global HR service provider, part of Recruit Holdings Co., Ltd. As a member of the Recruit family, we can extend the benefits of global recognition and universal resources to our valued clients and candidates.

We have kept our promise to provide national staffing and local support since our doors opened in 1994. Our national reach lets us provide you with the best staffing solution at your exact point of need, no matter your location. Today, we remain one of the fastest-growing recruiting firms in the nation.

CSI Gives Back

At CSI, we extend our community contribution beyond providing candidates with flexible job opportunities and connecting clients with top-tier talent. Through our local support commitment, we partner with organizations near and far to meaningfully impact the lives of those in need.

What began as a sponsorship of community events has flourished into a full-fledged social responsibility initiative that spans fundraisers, volunteerism, board membership, and cherished partnerships with local and national philanthropic organizations.

CSI Gives Back is the heart of The CSI Companies.

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