Lagrange GA... Conifer Health Solutions is currently hiring for an A/R Collections Representative JOB SUMMARY Responsible for performing payment follow-up activities on patient accounts as assigned. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Conducts appropriate account activity on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continues collection activity until account is resolved, sent to Legal, or disputed. Responsible for maintaining inventory on desks with no backlog. Ensure daily productivity standards of assigned accounts are met. Requests additional information from Patients, Medical Records, and others upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Updates Plan IDs and Patient/Payor demographic information; posts notes and memos to accounts; identify payor issues and trends; and solve recoup issues. Returns accounts to Appeal Writers for next level appeals as needed. Identifies payor trends in payment delays and escalates issues to Supervisor. Recognizes potential delays with payors such as corrective actions and responds avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and must be able to communicate results. Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors. Conducts collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Provides ongoing appropriate collection activity on appeals until the payer has responded to the appeal.
Posted on: Thu, 07 Aug 2014 01:37:23 +0000
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