Specialist, Bill &Collect

NueHealth•Hackensack, NJ

About The Position

The primary responsibility of the Collection Specialist is to generate insurance claims and patient statement billings and to ensure timely and effective collection of outstanding insurance or patient balances and appealing denied claims, etc. Candidate shall experience in payor specific appeal process, timely filing constraints, and all facets of the Revenue Cycle. Minimum Requirements High School Diploma or equivalent required. 2 years of previous surgery/medical experience required. Orthopaedic experience preferred Working knowledge of MS Office applications which include Outlook, Word, and Excel. Ability to communicate effectively with the surgeon’s office, patients, patients’ family members, staff, and insurance companies. Ability to read, write and understand documents, correspondence, and memos required. Ability to apply common sense and understanding to carry out instructions furnished in written, and oral communications. Critical thinking skills required. Essential Functions Works the Aged Accounts report on a daily basis. Maintains goals of 60, 120, 150, 180+ less than 10% or less including patient balances. Enters all notes regarding insurance claim follow up. Contacts patients regarding self-pay balances. Prepares accounts for collection. Appeals any/all denied claims using Payor specific requirements. Assumes clerical duties and responsibilities, as necessary. May perform duties of the Registration and/or Insurance Verification as needed. Answers telephone and intercom courteously and in a quiet, pleasant voice. Accepts and relays messages effectively. Maintains and protects each patient’s right to confidentiality. Identifies emergencies and initiates appropriate response. Maintains order and cleanliness of the front desk. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day. Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Requirements

High School Diploma or equivalent required.
2 years of previous surgery/medical experience required.
Working knowledge of MS Office applications which include Outlook, Word, and Excel.
Ability to communicate effectively with the surgeon’s office, patients, patients’ family members, staff, and insurance companies.
Ability to read, write and understand documents, correspondence, and memos required.
Ability to apply common sense and understanding to carry out instructions furnished in written, and oral communications.
Critical thinking skills required.

Nice To Haves

Orthopaedic experience preferred

Responsibilities

Works the Aged Accounts report on a daily basis.
Maintains goals of 60, 120, 150, 180+ less than 10% or less including patient balances.
Enters all notes regarding insurance claim follow up.
Contacts patients regarding self-pay balances.
Prepares accounts for collection.
Appeals any/all denied claims using Payor specific requirements.
Assumes clerical duties and responsibilities, as necessary.
May perform duties of the Registration and/or Insurance Verification as needed.
Answers telephone and intercom courteously and in a quiet, pleasant voice.
Accepts and relays messages effectively.
Maintains and protects each patient’s right to confidentiality.
Identifies emergencies and initiates appropriate response.
Maintains order and cleanliness of the front desk.