Nashville, TN – Telecommute
VIRTUAL SENIOR COLLECTIONS ANALYST
Description: The Senior Collections Analyst is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and escalating as appropriate.
Duties (included but not limited to):
Resolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare, Auto and Workers’ Compensation
Effectively utilize ERA payment information to identify trends and make recommendations
Be able to utilize various data sources to drive decisions
Identify contract protection that can be leveraged when disputing delays in payment
Work with vendors and other organizations when needed to resolve open accounts receivable
Articulate any payment delays to representatives from healthcare payer companies and government agencies.
Contact payer companies via phone or correspondence and initiates request for payment.
Escalate Payer lack of response and/or lack of payment within Payer organization as appropriate.
Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective argument.
Identify problem accounts/processes/trends and escalate as appropriate.
Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Identifies Payer trends and communicates trends to supervisor for further action/escalation.
Practices and adheres to the ?Code of Conduct? philosophy and ?Mission and Value Statement?
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
Communication – communicates clearly and concisely, verbally and in writing.
Persistence ? comfortable pursuing, rebutting and escalating issues as appropriate.
Goal-oriented ? holds him/herself accountable to achieving shared and personal goals.
Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Interpersonal skills – able to work effectively with other employees, patients and external parties.
PC skills – demonstrates high proficiency in Microsoft Office applications and others as required.
Policies & Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems.
Mathematical skills – able to perform advanced mathematical calculations and balance and reconcile figures
Writing skills ?advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately.
Bachelor’s degree required.
Master’s degree preferred.
Two years of related experience.
Customer Service , Insurance , Medical & Health , Medical Billing