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Medical Insurance Collector

Company: ICONMA, LLC
Location: Livermore
Posted on: January 15, 2022

Job Description:

Job DescriptionThis position is responsible for, but not limited to, the following: - Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations. - Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility. - Responsible to follow-up as necessary to facilitate the collection of co-pays. - When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account. - Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service. - Ensures that the data is accurate and complete. - Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment. - Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete. - Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims. - Ensures that all cash is posted to the correct account in a timely manner. - Responsible for the timely follow-up and collection of payments due to the organization. - This is accomplished by generating invoices and/or following up with clients and/or payers. - Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement. - Processing, resolving and logging customer inquiries. - Looking for back end experience with appeals. AR follow-up experience. - In this role, you will handle and resolve all insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies. - The incumbent will serve as the liaison between insurance companies, patients and the departments to ensure the claims are processed and followed up to meet companies goals of account receivable days, aging account percentages and cash goals. - They will also research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism. - This job description will be reviewed periodically and is subject to change by management. - Contributes toward effective, positive working relationships with internal and external colleagues. - Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organizationCollector Level I - Demonstrates proficiency and accuracy in operating systems directly related to specific job function. - Initiates contact with insurance carriers regarding status on claims. - Maintains accurate and complete collection notes concerning collection activities on all accounts according to company procedures and requirements. - Can work independently. - Takes incoming calls from insurance carriers and patients. - Contributes to team effort by accomplishing related results as needed. - Ensures that all processing and reporting deadlines are consistently achieved. - Maintain compliance with all company policies and procedures. - Regular attendance and punctuality. - Performs any other function as required by management. - Represents company and team in a professional and positive manner. - Meet and exceed daily and monthly production goal. - Effective communications with staff and management. - Demonstrates basic understanding of billing system; able to complete basic tasks based on job function. - Adapts to changing business needs, conditions, work responsibilities. - Able to toggle between computer screens. - Exhibit competency in the utilization of computers, telephones, calculators, fax machines and devices-level of competency 90%.Qualifications: - High school diploma or GED required - Associate degree preferred - Preferred years of experience - Level one representative 1 to 3, Level two representative 3 to 5 and Level three five or more. - Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. - Excellent computer proficiency (MS Office Word, Excel and Outlook) - Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service - Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices - Exhibits customer and service-oriented behaviors in every day work interactions. - Demonstrates a courteous and respectful attitude to internal workforce and external customers. - Treat others with unconditional respect, dignity and equality - Provides accurate and timely written and verbal communication of information in a manner that is understood by all. - Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome. - Able to use IT systems in an accurate and proficient manner.As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.

Keywords: ICONMA, LLC, Livermore , Medical Insurance Collector, Healthcare , Livermore, California

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