Spurwink's Finance department seeks an experienced Collections Representative to follow up on denials and outstanding accounts receivable for the agency. Including outstanding Medicare and third-party insurance and miscellaneous billing accounts older than 60 days. The Collections Representative will also follow up, correct and resubmit claims for all government and non-government denials in a timely manner and respond to any inquiries regarding complex billing issues.\n

DUTIES:\n\nFollow up on all outstanding Maine Care accounts greater than 30 days old. Submit bills electronically using internal software compatible with the State of Maine. Achieve a 2-3week turnaround time for payment receipt. Reconcile all submissions to Maine Care.\nFollow up on all outstanding Medicare, Third Party Insurance, and Miscellaneous Billing accounts greater than 60 days. Resubmit claims on payer-preferred HIPAA compliant format. Review aging report to determine which claims require follow up and prioritization Follow up, correct, and resubmit claims for all denials received within 5 days of receipt of Explanation of Benefits.\nIdentify billing inconsistencies and communicate these inconsistencies back to the staff.\nRespond to any patient inquiries regarding the self-pay bills Establish payment arrangements on outstanding balances. Identify accounts that need to be sent to the collection agency.\nPerform as a backup for insurance verifications and cash posting.\nHelp to develop and use tools to trend denial reasons by most common denial reason which programs and staff are receiving the most denials total dollars held up by denials.\nAssist with development and ongoing updates of Collection Policies and Procedures.\nAssist in A\/R-related matters for the year-end audit, internal QA audits or audits by third-party funding agencies.\n\n

QUALIFICATIONS:\n

High school diploma or equivalent. Three or more years experience preferred.\n

A minimum of two years experience in Medicare, Maine Care and Third Party billing\/reimbursement and one year of collections. Ability to prioritize multiple tasks effectively. Excellent interpersonal and communication skills are a must. Willingness to work effectively in a team oriented environment. Familiarity with personal computer spreadsheets and database packages including Excel, Microsoft Word, and Accounts Receivable financial software.\n

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Robust Benefits Package:\n\nHealth Insurance\nDental Insurance\nVision Insurance\nLife Insurance\nRetirement Account with Matching Contribution (after one year of service)\nIdentity Theft Insurance\nPet Insurance\n\n

BENEFITS MAY INCLUDE:\n\nFlexibility of Schedules\nCareer Advancement Opportunities\nTuition Reimbursement (up to $2000 annually)\nStudent Loan Assistance\nGenerous Paid Time Off\nVerizon & Sprint Cell Phone Discounts\nOpportunity for Same Day Pay\n\n

Spurwink is an Equal Opportunity Employer.