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Base pay range
$50,000.00/yr - $55,000.00/yr
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Professional Recruiter at Insight Global
QUALIFICATIONS:
- Associates Degree or 3-5 years related experience or equivalent combination of education and experience specifically dealing with Medicare and Medicaid
- Experience collecting unpaid payor transactions and researching discrepancies.
POSITION SUMMARY:
Maintains accounts receivable records and processes invoice transactions for Medicaid and other insurance payors, performing follow-up efforts to secure payment for services delivered.
ESSENTIAL DUTIES:
- Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to ensure proper billing to client payor sources.
- Performs collection activities to follow up on unpaid payor transactions and researches discrepancies.
- Confers with private and public insurance companies by telephone to determine reasons for overdue payments, reviewing contract terms, services delivered, and authorizations.
- Notifies program staff regarding client eligibility status.
- Updates service authorizations for clients according to insurance company instructions.
- Processes and delivers invoice copies for payors.
- Researches and processes customer claims of invoice payment.
- Researches and processes charge backs, returns, and bad checks.
- Answers accounts receivable inquiries and follows up as necessary.
- Maintains communication with customers and funders as needed.
- Attends scheduled staff meetings, supervision, and ongoing training.
- Contributes to the development and maintenance of the Agency’s systems through timely documentation, complying with fiscal, legal, licensing, and accreditation standards.
Seniority level
Not Applicable
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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Inferred from the description for this job
- Medical insurance
- Vision insurance
- 401(k)
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