Insurance Collector-Nashville TN Tennessee Oncology Nashville

Short Description :

Prompt, timely manner Evaluates status of accounts and prioritizes collection action letters, phone calls, staff assistance Prepares daily user reports for Team Leader review and filing along with appropriate notes/documentation Effective verbal and written communications, including active ,…

Full Description :

Salary Grade: 114
Location: Nashville TN
FT/PT Status: Regular Full Time
Days: MondayFriday
Hours: 8-4:30
Responsibilities / Essential Functions: **This position is not open to outside services****
Review monthly accounts receivables, follow up for resolution, insurance contact and claim re-files when necessary. Knowledge of oncology billing reimbursement as well as CPT-4, ICD-9, HCSPS coding required.
  • Works and/or maintains every account in the assigned AR in the 60+ day categories. Reviews EOBs within a two-week turnaround.
  • Documents accurate collection activity in the collection tracking notes.
  • Evaluates status of accounts and prioritizes collection action (letters, phone calls, staff assistance).
  • Calls on outstanding balances due from carriers in a timely manner.
  • Telephones, interviews, and counsels patients on outstanding self-pay balances.
  • Responds to incoming telephone or mail inquiries in a prompt, timely manner.
  • Completes write-off adjustment forms for accounts needing necessary adjustments and turns in to Team Leader with appropriate documentation attached.
  • Maintains collection logs for distribution to other teams for use in identifying areas needing attention/correction.
  • Advises Team Leader of any unusual collection accounts as they become delinquent or are in question.
  • Prepares daily user reports for Team Leader review and filing along with appropriate notes/documentation.
  • Works with Registrars and other staff to gather necessary information for proper account work/collection activity.
  • Maintains a complete understanding of HCPCS/ICD/CPT oncology coding and specific carrier requirements/knowledge.
Knowledge, Skills & Abilities: •Detailed knowledge of billing, HCPCS, CPT and ICD codes
  • Previous commercial collections experience preferred
  • Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.
  • Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
  • Exceptional Multi-tasking, organizational skills and attention to detail.
  • Strong analytical skillsSkill in negotiating issues and resolving problems.
  • Excellent customer service skills.
  • Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient billing and other medical information systems.
  • Ability to operate various types of office equipment.
  • Must possess high degree of professionalism and adaptability.
Qualifications & Requirements: • High School diploma or equivalent required.
  • One year of experience in directly related role
Physical Requirements: •Must be willing and able to lift up to 25 pounds.
  • Must be willing and able to travel to satellite clinics when necessary

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