Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.
Essential Duties:
Under the general supervision of the Accounts Receivable Supervisor, the Collection Specialist is responsible for collecting payments and applying to patients accounts which includes; patients, clients, and or referral sources.
Responsibilities:
- Understands the rules, regulations, appeal process and timely filing regarding insurance billing coverage and collection process.
- Understands payer determination, contract fees, covered or non-covered items, diagnosis, modifiers, valid HCPC, prescriptions, authorization, eligibility, etc.
- Records each transaction worked on a daily basis onto a Work Productivity Log.
- Evaluates EOB payment to determine transaction billed is paid in full according to current fees and contract. Rectifies any underpayments with the insurances for additional payment.
- Audits charts to verify documentation, such as the assignment of benefits, letters of medical necessity, authorization and other required documents.
- Performs manual or electronic processing of reimbursement claims.
- Ensures billing occurs in a prompt and timely manner as well as timely follow up.
- Works on claims, denials, suspension, appeals and aging reports to determine the appropriate follow-up action.
- Ensures that goals set for denials/correspondence and aged accounts are met within the set deadlines given by your supervisor.
- Maintains accurate and complete records concerning billing and collection activity including documenting the patient’s chart and system notes.
- Updates all patient information as necessary, request supporting documentation, copy of insurance card and other required information.
- Handles customer and insurance questions concerning account activity.
- Supplies supervisor or manager with current account status for collection evaluation.
- Shares with other team member’s relative billing, adjustment or collection information.
- Communicates problems and concerns with supervisor/ manager which may lead to inaccurate or untimely completion of reimbursement processing.
- Work on and follow up on other projects, as assigned.
- Performs other duties, as assigned.
Work Experience Requirements:
- Graduate from an accredited high school
- Two year experience in collections
- Knowledge of medical insurance payers, billing rules and regulations.
- Experience in healthcare, medical and/or HME industry (preferred).
- Computer literate and knowledge of USS program is a plus.
- Make best use of work time to complete projects and assignments as scheduled.
- Be able to work on multiple tasks. Plan and prioritize activities to achieve results and meet deadlines.
- Strong communication, problem solving and analytical skills
- Ability to work independently and adapt to a fast changing environment.
- Proficiency in Microsoft Office including Excel and Word.
- Strong organizational skills and detail oriented.
- Excellent interpersonal and customer relationship skills with the ability to work in a very fast paced environment.
Benefits:
- Medical
- Dental
- Vision
- Flexible Savings Account
- 401K
- Voluntary Life Insurance
- Observed Holidays: New Year’s Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.
Perks:
- Paid Training
- Paid Time Off
- Sick Time
- Growth Opportunities
- Employee Referral Reward Program
- Employee Discount Program
What SuperCare Health is About
“SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes.
Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients.
Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program.
We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.“