Compass Revenue Solutions
Position Summary
Collections Specialist is a vital member of Compass Revenue Solutions. The employee is supervised by the Director of Finance and is responsible for collecting outstanding accounts receivable from insurance payers.
Responsibilities
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone or online resources.
Review and understand explanation of benefits, and/or remittances.
Know where to locate all departmental guides, payer rules, templates and platforms.
Work on correspondence denials received from clients, internal operations or portals.
Maintain thorough identification and resolution of problematic claims.
Utilize specialized knowledge of contracts, regulatory or contractual billing guidelines to determine an account’s ability to pay after initial denial from payer.
Analyze, identify and resolve issues causing payer payment delays.
Identify root causes for claim denials, underpayments and document the action taken.
Identify and notate duplicate billings, coordination of benefits, medical records or clinical documents needed from the payers to expedite payment of insurance claims.
Communicate with AR Director and Team Lead in identification and resolution of denial trends, including timely escalation, and regular updates.
Identify and communicate billing discrepancies to Team Lead and AR Director.
Stay up-to-date and utilize available payer website tools for claim and remittance functions.
Assist with special projects by utilizing Excel spreadsheets, and the ability to communicate results.
Communicate problems, questions and/or concerns to AR Director timely.
Keep current knowledge of payer policy updates and internal billing policies and procedures.
Prioritize workflow and work within deadlines.
Meet productivity and quality standards as set by management.
Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards.
Fulfill other requests by AR Director, and/or Team Lead.
Seniority Level Entry level
Employment Type Full-time
Job Function Accounting / Auditing and Finance
Referrals increase your chances of interviewing at Compass Revenue Solutions by 2x.
Locations: Peachtree City, GA
#J-18808-Ljbffr
Responsibilities
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone or online resources.
Review and understand explanation of benefits, and/or remittances.
Know where to locate all departmental guides, payer rules, templates and platforms.
Work on correspondence denials received from clients, internal operations or portals.
Maintain thorough identification and resolution of problematic claims.
Utilize specialized knowledge of contracts, regulatory or contractual billing guidelines to determine an account’s ability to pay after initial denial from payer.
Analyze, identify and resolve issues causing payer payment delays.
Identify root causes for claim denials, underpayments and document the action taken.
Identify and notate duplicate billings, coordination of benefits, medical records or clinical documents needed from the payers to expedite payment of insurance claims.
Communicate with AR Director and Team Lead in identification and resolution of denial trends, including timely escalation, and regular updates.
Identify and communicate billing discrepancies to Team Lead and AR Director.
Stay up-to-date and utilize available payer website tools for claim and remittance functions.
Assist with special projects by utilizing Excel spreadsheets, and the ability to communicate results.
Communicate problems, questions and/or concerns to AR Director timely.
Keep current knowledge of payer policy updates and internal billing policies and procedures.
Prioritize workflow and work within deadlines.
Meet productivity and quality standards as set by management.
Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards.
Fulfill other requests by AR Director, and/or Team Lead.
Seniority Level Entry level
Employment Type Full-time
Job Function Accounting / Auditing and Finance
Referrals increase your chances of interviewing at Compass Revenue Solutions by 2x.
Locations: Peachtree City, GA
#J-18808-Ljbffr