Job Description
Job Description…
Position Summary:
The role of the Insurance Collections Specialist is contact and collect on past due accounts receivables, denials, and appeals of claims from a variety of insurance payers. Our team members provide the highest quality service while supporting the mission and clients of RevNu Medical Management.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Responsible to reduce 90 days plus of aged A/R.
• Analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.
• Responsible to follow-up with healthcare insurance companies on outstanding medical claims and appeals.
• Review insurance cards, authorizations, and medical records.
• Verify patient insurance eligibility.
• Maintain open communication with the insurance verification team, billing department and office support staff.
• Conduct collection actions and provide resolution for complex accounts.
• Provide supporting documentation that supports collection actions.
• Perform other duties as assigned.
Required Skills:
Must be persistent and maintain a professional demeanor.
Ability to communicate in a professional manner; both verbally and written.
Proficient in Microsoft Office with strong Excel skills.
Required Education and Experience:
Experience and education requirements may be adjusted where necessary in response to labor market constraints.
• High School Diploma, Associates Degree or higher and/or specialized training in medical collections preferred.
• Minimum of 2 years’ experience performing medical claims resolution and management required.
• Minimum of one year of experience with collecting from government payers (Medicare & Medi-Cal) preferred.
• Ability to identify, research, and solve payers’ denials.
• Must have the ability to prioritize accounts receivable report based on importance.
• Qualified candidates must display strong time-management and organizational skills.
• Must be persistent and maintain a professional demeanor.
• Ability to communicate in a professional manner; both verbally and written.
• Excellent interpersonal skills that allow effective working relationships with a wide range of patients, colleagues, and vendors.
• Proficient in Microsoft Office with strong Excel skills.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Work Environment:
This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers and smartphones.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
Expected Hours of Work:
This is an in office or REMOTE IF NOT LOCAL TO THE CORP OFFICE – Full-time position Standard days of work are Monday through Friday and hours of work may vary from 7:30 a.m. to 4:00 p.m. PST as needed or may be adjusted for specific zones. This position does not require weekend work.
Pay, Benefits & Perks:
• Competitive Pay Based on Experience
• Paid Time Off (PTO)
• Sick Time Off
• 7 Paid Holiday Per Year
• 401(k) plus Company Match
• Employee Referral Bonuses
• Medical, Dental, and Vision Insurance
• Employer-Paid Life Insurance
• Short-Term Disability Insurance
• Voluntary Worksite Benefits such as Accident, Critical Illness, Hospital and Identity Theft
RevNu Medical Management is a U.S. leader in full Audiology and Hearing Aid Practice Management Solutions. Come join our ever-growing Team of energetic and dedicated people who love what they do, and love helping our clients provide necessary Hearing Health Services to their Patients across the Country.
RevNu Medical Management provides equal employment opportunities. We are committed to complying with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall. Our facility strives to provide equal opportunity for employment to all individuals who are properly qualified and able to perform the duties of their employment, without regard to employees’ legally-protected characteristics (“protected class”) including: age, sex, race, color, creed, religion, national origin, ancestry, citizenship, marital status, pregnancy, medical condition, physical or mental disability, sexual orientation, gender identity, sex stereotyping, or genetic information.
Monday – Friday 7:30am – 4:00 pm PST – Will vary depending on time zone of employee
40hrs a week
