Satellite Healthcare Accounts Receivable Collection Specialist in Mesa, Arizona
Requisition Number 18-0894
Post Date 11/9/2018
Title Accounts Receivable Collection Specialist
Location AZ - Accounts Receivable
Job Status Full Time
Work Hours 40
Satellite Healthcare is a successful, nonprofit organization that has improved the lives of people living with kidney disease since 1973. We earn our national reputation for excellent patient care each day by offering a complete range of dialysis therapy
choices, personalized clinical services, and unparalleled wellness education.
Satellite Healthcare provides expert, personalized kidney care at over 80 centers across the U.S. as well as at acute dialysis locations in California and Texas. Learn more about Satellite Healthcare at www.satellitehealth.com .
The Collections Specialist ensures that all collection activity is performed and completed accurately. This position is responsible for timely filing and following up with insurance payors on submitted claims that have not been paid so as to have a fluent
The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite’s I-CARE Standards.
Review, understand, and work unpaid and denied claims using QMS aging reports and clearinghouse worklists and reporting tools
Recognizing trends in the aging reports and working with payers to decrease response/payment turnaround
Initiates appeal requests per payer guidelines
Research and understand payer contracts; identify timely filing and appeal deadlines
Manage any worklists and reports in the external clearinghouse for unpaid or denied claims
Maintaining follow up notes in QMS
Working knowledge of Clinical EMR, billing system and any external clearinghouses used
Exceptional customer service with all payers
Responding promptly to all correspondence (fax, e-mail, telephone, mail) and ensures that all timely filing deadlines are met
Insuring the confidentiality of patients and employee information in compliance with HIPAA guidelines
Contributing to harmonious and constructive working relationships with all staff members to promote a positive and productive atmosphere
Any combination of education and experience that would likely provide the required knowledge, skills, and abilities as well as possession of any required licenses or certifications is qualifying.
Education: High School Diploma, GED or equivalent required; college courses or courses in insurance billing, data processing, or medical terminology preferred
Experience : Two (2) years of experience in a medical collections environment
Knowledge, Skills & Abilities:
Ability to analyze data
Exceptional customer service to all clients
Contributes to harmonious and constructive working relationships with all staff members to promote a positive and productive atmosphere
Ability to understand and apply Medicare and Medicaid ESRD rules and regulations; knowledge with Medicare and Medicaid is preferred; understands the private insurance industry: PPO, HMO, POS, Medicare Advantage and Indemnity Plans
Accurate keyboard and ten-key skills; must be literate in Microsoft based programs
Ability to work effectively in a team environment and independently
Positive attitude with excellent interpersonal skills
Able to read, write, speak, understand and satisfactorily communicate with others in English in person, over the phone and via email
Satellite Healthcare, Inc. (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. We offer a drug-free work environment.