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Collection Specialist

LHC Group
United States, Maryland, Frederick
Nov 21, 2024

Summary

The Collection Specalist prepares and processes various insurance claims. Verifies data by conferring with appropriate agency and/or external personnel on a daily basis



Responsibilities

* Finance - Prepares and processes various insurance claims. Verifies data by conferring w ith appropriate agency and/or external personnel on a daily basis. * Finance - Creates and processes electronic claims submission for various payers on a daily basis.

* Quality - Researches any error claims and makes necessary corrections for clean claim production and submission on an as needed basis.

* Finance - Review s accounts receivable on a daily basis and performs follow -up on delinquent accounts according to established policies and procedures. Recommends departmental/agency corrective action as required.

* Quality - Receives, investigates, and responds to inquiries from payors and/or agencies concerning accounts receivable activity according to established polices and procedures on a regular basis.

* Quality - Maintains and develops accounts receivable schedules to track issues and resolutions for ease of reporting on a monthly basis.

* People - Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.

* Quality - Problem solves independently before referring problems to the Supervisor/Manager for resolution.

* Service - Performs similar, comparable, or related duties as may be required or assigned.



Education and Experience

Formal Education: High School Diploma or equivalent

Experience: 1 year

Medical billing/collections experience

Home Health billing/collections experience

Excellent oral and w ritten communication

Excellent organizational and analytical

Basic PC skills including PC based applications (MS W ord, Excel).

Mathematical



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