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Collections Specialist

Company: Pankratz Eye Institute
Location: Columbus
Posted on: November 24, 2022

Job Description:

*Pankratz Eye Institute*, a Covenant Physician Partner, located in Columbus, Indiana is looking for a full-time *Collections Specialist* to join their growing and dynamic team.

*About the Opportunity: *

Working with a cohesive team of professionals, the Collections Specialist will work closely with the Practice Manager, Center Manager, and Revenue Cycle department to handle insurance verifications, billing, insurance and payment collections, cash payment posting, and patient services.

This position will research and resolve patient issues, respond to inquiries by center staff regarding patient account issues, and assist with weekly patient statements. The Billing Specialist will conduct insurance and claim validation, communicate with patients in advance of their procedure regarding the patient's financial responsibility (co-pay) due at the time of procedure, and

*About the Candidate: *

* Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise
* Meet and/or exceed the daily production goals as defined by the Revenue Cycle Manager
* Assist management team in providing training, assistance, and/or guidance to other staff members in issues of accounts resolution through billing, collections, and/or denial processing techniques
* Compile and submit claims to insurance companies based on data provided by the medical coders
* Review first initial claim scrub and billing to the clearinghouse utilizing billing and practice management software
* Validate claims and make necessary corrections to send out clean claims to the payers electronically and/or via paper
* Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits
* Resolve disputed balances in our billing and practice management software
* Process credit card transactions
* Post all payments and adjustments to the specified patient account in accordance with current policy and procedure
* Ensure accuracy of posting by balancing deposit totals to system generated report
* Properly close all assigned batches in a timely manner
* Maintain daily posting logs and reconciliation
* Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency
* Responsible for Patient Check-out, setting follow-up appointments, and posting charges

Minimum Requirements:

* High school diploma, GED, or equivalent
* Minimum 2 years of experience in a medical office or healthcare business office; or equivalent combination of education and experience.
* Must have working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.
* Knowledge of revenue cycle processes including: health insurance verifications, billing, collections, and cash posting functions.
* Ability to read and evaluate Healthcare Receivables Information.
* Understanding of co-pay, coinsurance, and deductibles and intermediate to expert experience in electronic claim submission and edit resolutions, third party payer insurance verification, collections and denial resolution process.
* Proficiency with Word, Excel, Outlook required.
* Ability to learn billing applications and other healthcare software may be required.

*PREFERRED QUALIFICATIONS: *

* Experience with Anesthesia, Ambulatory Surgery and Lab billing.
* Basic knowledge of medical terminology specifically relating to Ophthalmology.
* Medical Billing Certification.
* Experience with CPT, ICD-10, and NCCI coding

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Schedule:
* Monday to Friday
* No weekends

Ability to commute/relocate:
* Columbus, IN 47203: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):
* What is your desire pay rate?

Work Location: One location%58047475%

Keywords: Pankratz Eye Institute, Bloomington , Collections Specialist, Accounting, Auditing , Columbus, Indiana

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