Medical Insurance Collector
Job Summary The TANYR Insurance Collector pays attention to detail, has interpersonal and problem-solving skills and can adhere to trained best practice collection guidelines. The Insurance Collector is trainable, dependable, and motivated to consistently hit productivity goals. They understand the importance of client PHI and adhere to all TANYRs policies and guidelines related to workspace and attendance. At TANYR, we seek to add only ideal team players who can flourish in our culture and embody the characteristics of our Core Values: · Loyal to the Company · Hardworking · Dedicated to Excellence · Honesty and Integrity · Faith · Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days · Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices · Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collection · Research assigned correspondence; take necessary action to resolve requested information promptly; establish appropriate follow-up · Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions · Following up on invoices submitted to ensure prompt and timely payment and escalating issues as necessary, per established guidelines · Evaluate payments/denials received for correctness and ensure that they are applied appropriately · Identify patterns of non-payment, underpayments, overpayments, and duplicate payments and investigate to resolve or escalate to supervisory personnel · Identify bad debt write-offs and A/R adjustments in accordance with policies and procedures · Process refund requests in accordance with policies and procedures · Review insurance remittance advice for accuracy. Identify billing errors, short payments, over payments and unpaid claims and resolve accordingly, communicating any needed system changes · Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing · Ability to independently obtain and interpret information · Meet quality, productivity, individual and department goals as determined by TANYR · Work within specified deadlines and stressful situations · Understand and adhere to HIPAA guidelines and all applicable state and federal regulations and company policies · Responsible for professional and effective verbal and written communication with both internal and external customers · Work overtime as necessary to meet department goals and objectives · Perform other tasks or special projects as assigned or deemed necessary · Cultivate a positive and collaborative team culture, encouraging professional growth and development · Exhibit a willingness to learn, problem solve and assist others while openly and actively participating in the TANYR culture Qualifications and Education Requirements · High School Diploma or equivalent (GED) · Minimum 1 year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement; home infusion experience preferred · Ability to independently obtain and interpret information. · Working knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT, and HCPCS coding preferred. · Working knowledge of automated billing systems; experience with CPR+/CareTend/Brightree/Kareo preferred. · Must be detail-oriented with the ability to analyze, organize, prioritize, and multi-task. · Effective interpersonal, written, and verbal communication skills · Intermediate or Advanced proficiency with Microsoft Office skills, including Word, Excel, and Outlook preferred. Benefits at TANYR Health Insurance Dental Insurance Vision Insurance Long Term Disability paid by TANYR Term Life Insurance paid by TANYR with option to elect additional coverage 401K with company match Supplemental Insurance Plans Paid Time Off Paid Holidays Job Type: Full-time Pay: $15.21 - $23.21 per hour Expected hours: No more than 40 per week Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Work Location: Remote Apply Job!