Medical AR Collector: Claims, Denials & Payments

St. Joseph’s/Candler Health System; Savannah (GA); Híbrido; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Wellness programs

Child care opportunities

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Descripción de la vacante

St. Joseph’s/Candler Health System in Savannah, GA is seeking an Insurance Collector for the Specialty Physician Revenue Cycle to manage claims from origination to payment, follow up on unpaid claims, and handle payer and patient communications to maintain receivables goals.

The role operates within the hospital-based Central Billing Office, performing payment posting and ensuring accuracy under supervision, contributing to departmental performance and cash flow.

Formación

• 3–5 years relevant experience in medical accounts receivable preferred.
• Knowledge of insurance procedures and payer requirements preferred.
• Experience with patient and payer communication in a hospital setting preferred.

Responsabilidades

• Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken.
• Acts upon computer reminders promptly and appropriately. Uses the most effective follow up method needed. Documents all action taken.
• Files claims as assigned. Follows up on secondary aged accounts according to established time parameters. Resolves reminders promptly.
• Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
• Resolves payer denials promptly and appropriately. Mails paper claims promptly to the proper address. Re-bills accounts when necessary.

Conocimientos

Medical AR

Payer follow-up

Denials management

Educación

Associates of Business - Preferred

Descripción del empleo

• System - Specialty Physician Revenue Cycle

The primary responsibility of the Insurance Collector is to ensure that all third party professional claims and institutional claims are processed and paid; maintaining gross days in receivables at or below departmental goals, within the Hospital-Based, Central Billing Office setting. The Insurance Collector will perform all billing and follow-up activity on patient's accounts from origination to either payment in full or transfer to self-pay status. Daily activity includes but is not limited to filing, aging, follow-up on unpaid claims, identifying credit balances, documenting needed information and handling all insurance / patient contact in a professional manner. Whenever assigned, payment posting duties will be completed accurately and within departmental guidelines; working under the direct supervision of the CBO Team Lead. The Insurance Collector must maintain open communications and is available to component organizations and practitioner sites for consultation.

Education

Associates of Business - Preferred

Experience

3-5 Years Relevant Experience in Medical Accounts Receivable. - Preferred

License & Certification

None Required

Core Job Functions

• Resolves payer denials promptly and appropriately. Updates account Insurance demographic information accordingly. Rebills accounts when necessary and documents all action taken.
• Acts upon computer reminders promptly and appropriately. Uses the most effective follow up method needed. Documents all action taken.
• Files claims as assigned. Follows up on secondary aged accounts according to established time parameters. Resolves reminders promptly.
• Reviews and responds appropriately to correspondence according to established time parameters. Documents all action taken. Ensures correspondence is scanned to the account.
• Resolves payer denials promptly and appropriately. Mails paper claims promptly to the proper address. Re-bills accounts when necessary.

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