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Collection Specialist

SuperCare Health

Collection Specialist

Remote,
Full Time
Paid
  • Responsibilities

    “Improving the lives of those with chronic care diseases while providing solutions to our customers."

    Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.

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    _****Essential Duties:

    Under the general supervision of the Accounts Receivable Supervisor, the Collection Specialist is responsible for collecting payments and applying to patients accounts which includes; patients, clients, and or referral sources.

    Responsibilities:

    • Understands the rules, regulations, appeal process and timely filing regarding insurance billing coverage and collection process.
    • Understands payer determination, contract fees, covered or non-covered items, diagnosis, modifiers, valid HCPC, prescriptions, authorization, eligibility, etc.
    • Records each transaction worked on a daily basis onto a Work Productivity Log.
    • Evaluates EOB payment to determine transaction billed is paid in full according to current fees and contract. Rectifies any underpayments with the insurances for additional payment.
    • Audits charts to verify documentation, such as the assignment of benefits, letters of medical necessity, authorization and other required documents.
    • Performs manual or electronic processing of reimbursement claims.
    • Ensures billing occurs in a prompt and timely manner as well as timely follow up.
    • Works on claims, denials, suspension, appeals and aging reports to determine the appropriate follow-up action.
    • Ensures that goals set for denials/correspondence and aged accounts are met within the set deadlines given by your supervisor.
    • Maintains accurate and complete records concerning billing and collection activity including documenting the patient's chart and system notes.
    • Updates all patient information as necessary, request supporting documentation, copy of insurance card and other required information.
    • Handles customer and insurance questions concerning account activity.
    • Supplies supervisor or manager with current account status for collection evaluation.
    • Shares with other team member's relative billing, adjustment or collection information.
    • Communicates problems and concerns with supervisor/ manager which may lead to inaccurate or untimely completion of reimbursement processing.
    • Work on and follow up on other projects, as assigned.
    • Performs other duties, as assigned.

    Work Experience Requirements:

    • Graduate from an accredited high school
    • Two year experience in collections
    • Knowledge of medical insurance payers, billing rules and regulations.
    • Experience in healthcare, medical and/or HME industry (preferred).
    • Computer literate and knowledge of USS program is a plus.
    • Make best use of work time to complete projects and assignments as scheduled.
    • Be able to work on multiple tasks. Plan and prioritize activities to achieve results and meet deadlines.
    • Strong communication, problem solving and analytical skills
    • Ability to work independently and adapt to a fast changing environment.
    • Proficiency in Microsoft Office including Excel and Word.
    • Strong organizational skills and detail oriented.
    • Excellent interpersonal and customer relationship skills with the ability to work in a very fast paced environment.

    Benefits:

    • Medical
    • Dental
    • Vision
    • Flexible Savings Account
    • 401K
    • Voluntary Life Insurance
    • Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.

    Perks:

    • Paid Training
    • Paid Time Off
    • Sick Time
    • Growth Opportunities
    • Employee Referral Reward Program
    • Employee Discount Program

    What SuperCare Health is About

    _"SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes.
    _

    Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients.

    Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program.

    We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.``

    Connect With Us!

    Company Website https://supercarehealth.com/

    Company Business Hours - 8:30 AM – 5:30 PM PST

    LinkedIn https://www.linkedin.com/company/273667/admin/

    Twitter https://twitter.com/SuperCareHealth

    Facebook https://www.facebook.com/SuperCareHealth/

    Instagram https://www.instagram.com/supercarehealth/

    Cassandra Breeden - Talent Acquisition LinkedIn