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

City Mesa

State AZ

Description

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

revenue cycle.

Essential Functions:

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

Requirements

Minimum Qualifications

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.