Overview:
The primary purpose and function the Specialist, Insurance Collections is to coordinate with insurance carriers to ensure the receipt of outstanding insurance claim payments. Follow-up on claims payment status averaging around 25-35 accounts per day.
Responsibilities
* Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by PDS
* Review patients' accounts to ensure accuracy on insurance billing and procedures performed
* Read and analyze various internal reports that contain claims and insurance information
* Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payment
* Process attachments through National Electronic Attachments (NEA)
* Use various on and offline methods to trace outstanding claims payments
* Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
* Maintain an appropriate professional appearance and demeanor in accordance with Company policy
* Other duties as assigned by management
Qualifications
* Equivalent to high school diploma or general education degree (GED)
Preferred
* EPIC knowledge
* Associate's or Bachelor's Degree or a one-year certificate from an accredited college or technical school; or equivalent combination of education and experience
* Experience in medical or dental setting
* Ability to interpret Explanation of Benefits
Knowledge/Skills/Abilities
* Ability to multi-task effectively without compromising the quality of the work
* Excellent interpersonal, oral and written communication skills
* Detail oriented, organized, process focused, problem solver, proactive, ambitious, customer service focused
* Ability to draw conclusions and make independent decisions with limited information
* Ability to respond to common inquiries from team members, dental offices and other members of the business community
* Self-motivated, reliable individual capable of working independently as well as part of a team
Benefits
* Medical, dental, and vision insurance
* Paid time off
* Tuition Reimbursement
* 401K
* Paid time to volunteer in your local community
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