The Commercial Billing/Collections Representative is primarily responsible for all account follow-up and resolution necessary to receive the expected reimbursement from all payer sources, through routine review of outstanding accounts.

Includes, but is not limited to the following\:

Expedites and maximizes payment of insurance medical claims by contact insurance payers by telephone or websiteResolves all denials and requests for informationReview and document all correspondence received and actions.Knowledgeable of major managed care plans with a firm collection approachInterpret contract terms to determine expected reimbursement and identify underpaymentsSubmit professional financial appeals to payor within the deadlines set forth by the payorsAccount analysis and timely follow-up of outstanding accountsCommunicate areas of concern/improvement to LeadershipOther duties, Special Project duties as assigned by director.

The Commercial Billing/Collections Representative is primarily responsible for all account follow-up and resolution necessary to receive the expected reimbursement from all payer sources, through routine review of outstanding accounts.

Includes, but is not limited to the following\:

Expedites and maximizes payment of insurance medical claims by contact insurance payers by telephone or websiteResolves all denials and requests for informationReview and document all correspondence received and actions.Knowledgeable of major managed care plans with a firm collection approachInterpret contract terms to determine expected reimbursement and identify underpaymentsSubmit professional financial appeals to payor within the deadlines set forth by the payorsAccount analysis and timely follow-up of outstanding accountsCommunicate areas of concern/improvement to LeadershipOther duties, Special Project duties as assigned by director.

Minimum Qualifications\:High School Degree required, One (1) to two (2) years of college is preferred.Minimum 2 years’ experience billing Medicare, Medicaid and Commercial insurance companies in acute care setting.Knowledge of third-party payers, collections laws, F.T.C. rulings, and collection procedures.Knowledge of third-party payer billing requirements.Knowledge of claims submission process for all major carriers and intermediaries.Proficient in the use of personal computer.Minimum Qualifications\:High School Degree required, One (1) to two (2) years of college is preferred.Minimum 2 years’ experience billing Medicare, Medicaid and Commercial insurance companies in acute care setting.Knowledge of third-party payers, collections laws, F.T.C. rulings, and collection procedures.Knowledge of third-party payer billing requirements.Knowledge of claims submission process for all major carriers and intermediaries.Proficient in the use of personal computer.