Government Collector

21st Century Oncology in Fort Myers, FL

  • Industry: Government - Healthcare
  • Type: Full Time
position filled
PURPOSE:

The Government Collector is responsible for pursuing collection of all claims from various insurance companies until payment is made; and performs other work associated with the billing process. This includes identifying consistent payer related payment delays and communicating with management.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

* Prepare and submit medical billing claims to insurance carriers either electronically or by hard copy billing
* Secure needed medical documentation required or requested by insurance carriers
* Investigate, analyze, and determine the reason for denials of payment from insurance carriers
* Process denials of payment from insurance carriers until claims are paid or self-pay balance remains
* Keep updated on all insurance carrier billing requirements and changes for insurance types within the area of responsibility
* Monitor claims for prompt payment received from insurance carriers
* Coordinate and work with staff from various departments to accomplish proper actions to prompt payment from the insurance carrier
* Demonstrate knowledge of, and support, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior
* Perform other responsibilities as required and/or directed

QUALIFICATION REQUIREMENTS:

* Adhere to Company Policy and Procedures
* Act as a role model and lead by example
* Continuously evolving and improving the presentation of data
* Perform duties as workload necessitates
* Maintain a positive and respectful attitude
* Communicate regularly with management regarding work flow discrepancies and improvements
* Demonstrate flexible and efficient time management and ability to prioritize workload
* Consistently reports to work on time prepared to perform duties of position
* Meet department productivity standards
* Able to analyze data and provide summaries to management and team member

EDUCATION AND/OR EXPERIENCE:

* Advanced knowledge in Microsoft Office 2007 or newer
* Experience in Health Care field preferred
* Excellent typing skills
* Computer skills
* Customer Service skills
* Practice Analytics
* Experience with Intergy strongly preferred

CONFIDENTIAL AND SENSITIVE INFORMATION:

Must properly control the release of proprietary and confidential information

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Balancing: Yes

Crouching: Yes

Pulling: Yes

Carrying: Yes

Grasping: Yes

Sitting: Yes

Climbing: No

Kneeling: Yes

Standing: Yes

Crawling: No

Lifting: Yes

Seeing: Yes

JOB DESCRIPTION CLAUSE:

The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.


Associated topics: audit, bilingual, collection specialist, commercial, commission, credit, financial, mitigation, pay, payment

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