Prochant
Description
The A/R Collections Specialist is an essential part of the Prochant Revenue Cycle Team. As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that claims filed to an insurance payer are processed accurately and timely.
Requirements
- Review patient accounts
- Promptly identify any errors or other issues in claims processing
- Effectively following up on any unpaid balances
- Expeditiously bringing any remaining balance to resolution.
- Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts
- Identify denial trends and provide potential solutions while analyzing patient accounts
- Review explanations of benefits details on denials.
- Communicate with insurance payer representatives, patients, and Prochant staff to ensure timely and accurate resolution of account transactions. This would include Commercial plans, Medicare/Medicare HMO plans and Medicaid/Medicaid HMO plans.
- Prioritize assigned accounts to maximize aged accounts receivable resolution
- Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution
- Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions
- Maintain a thorough understanding of NDC (National Drug Code) number, metric quantities, and knowledge of infusion supplies.
Specifications:
- High school diploma or equivalent is required.
- At least 3 years insurance collections experience is preferred
- At least 2 years of Infusion Reimbursement Experience preferred
- Exceptional customer service and patient focus. Our Insurance Collections Specialists often speak with our clients and payors, and it is essential that Specialist are able to make each encounter as positive as possible.
- Knowledge of Insurance particularly coordination of benefit rules and denial overturns are essential to this position.
- Knowledge of administrative and clerical procedures, including experience with computer systems/Excel.
- Accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of benefits and/or web-based claims follow up
- Collaboration, working closely with Prochant leadership and colleagues and administrative teammates to develop a cohesive, high performing team
- An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow documents through our EHR, without any diminishing focus on accuracy
- Dependability, with a reliance on the capacity to be at work on-time, every day so our clients can receive the administrative support they need in a timely manner
Benefits
Excellent benefits package including
- Health Insurance
- Teledoc
- Gap Insurance
- Dental Insurance
- Vision Insurance
- Short Term / Long Term Disability (company paid)
- Term Life Insurance (company paid, employee can elect additional)
- Full suite of CHUBB supplemental insurance plans including:
- Disability Income
- Level Term Life
- Accident Insurance
- Critical Illness Insurance
- FSA / HSA with eligible plans
- 401K with company match
- Floating holidays and paid time off