Insurance Collections Specialist at Urgent Team

Urgent Team is looking for a Insurance Collections Specialist to join our growing Billing Department. This is a remote/WFH position open to candidates in Tennessee Alabama Mississippi Georgia and Arkansas.

JOB SUMMARY:
The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex EMR systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned physician receivables are appropriately addressed according to company and federal guidelines.

KEY RESPONSIBILITIES:
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned.
Effectively manages assigned insurance receivables to achieve business line expectations
Exceed productivity standards as outlined by business line
Exceeds a minimum of 85% work quality scoring and accuracy on all accounts worked
Completes timely follow-up on assigned accounts to ensure no cash loss
Exceeds monthly cash expectations as set out for assigned client receivables
Ensures insurance accounts are resolved within 90 days of placement
Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
Acts as a knowledge resource for team members
Perform account research and route accounts through appropriate company workflows
High level understanding of company system functions
Clearly documents actions taken and next steps for account resolution in patient accounting system
Excellent working knowledge of system and displays clear understanding of claim updates request workflow and action step entry into the system
Demonstrates advanced understanding of commercial and Medicaid payers
Has knowledge of Medicare guidelines and is able to accurately perform corrections according to CMS guidelines
Demonstrates advanced understanding of claim needs and ability to accurately perform needed billing activities (Evaluation/Correction of billing edits claim transmission rejections and other claim functions)
Compiles appeals and approves appeal requests for team related to payment denials
Reflects understanding of payer contract verbiage and the ability to negotiate payment utilizing contract terms
Ensure strong communication skills to convey intricate account information
Ensure all accounts are worked within company standards and Federal Regulations
Maintain high quality account handling per company standards
Work within federal state regulations department/division & all Compliance Policies
Maintain clear concise and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications
Maintain continuing education training in industry career development
Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA FDCPA Privacy ActFCRA etc.
Attend training sessions as directed by management
Integrate information obtained through training sessions and policy changes immediately into daily routine
Practice and adhere to the Code of Conduct Mission and Valued Behaviors

WHATS REQUIRED
High school diploma or equivalent required
3 to 5 years experience in a health care receivables environment.
Familiar with widely used patient accounting software

BENEFITS INCLUDE:
Competitive Salary*
Medical Dental and Vision Options
Retirement savings plans
Paid Time Off
and MORE!

*The hourly rate range for this position is $24.54 to $31.37 per hour. It is not typical for an individual to be hired at the top of the range as compensation is determined on an individualized basis and will be impacted by location experience expertise internal pay equity and other relevant business considerations.

REMOTE WORK REQUIREMENTS:
Candidates must have a dedicated private workspace free from distractions. Due to the sensitive nature of patient information it is essential that the work environment ensures confidentiality and prevents unauthorized access. A quiet secure setting is required to maintain privacy and comply with all relevant privacy addition candidates should have a reliable internet connection and be able to manage their time effectively to meet team goals.

INTERVIEW PROCESS:
Initial Phone Screen
Online Skills Assessment
Video Interview with Hiring Manager

ABOUT URGENT TEAM:
The Urgent Team Family of Urgent Care & Walk-in Centers an on-demand healthcare company was created to provide quality affordable and convenient walk-in medical and telemedicine service in suburban neighborhoods rural towns and mid-size cities across the Southeast.

All of our 80 centers are have achieved the Urgent Care Association Accreditation the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organizations overriding commitment to safety quality and scope of services. Additionally 17 centers are designated Rural Health Clinics which provide access to primary care services for patients in rural communities.

Based in Nashville TN the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care Baptist Urgent Care Washington Regional Urgent Care Huntsville Hospital Urgent Care Physicians Care Urgent Team Sherwood Urgent Care and Baptist Health Urgent Care.

Required Experience:

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