Insurance collector job description

We are Jefferson Dental & Orthodontics and we believe in taking a personal approach to dentistry. Since our humble beginnings in Texas in 1967, we’ve been a trusted friend for our patients near and far. At Jefferson, we understand it takes more than clinical excellence to earn a patient’s trust. It’s of the utmost importance that we all see the patient as a unique individual and demonstrate that their care plan is designed around each of their needs. We’ll do whatever it takes to put a smile on each patient’s face, so the rest of the world can see how amazing it is. We truly change people’s lives. Do you want to be a part of our life changing team?!

Our philosophy is simple: Our Care Changes People’s Lives. We treat our patients like family to provide the best dental experience because we know a happy, confident smile leads to a better life. We deliver the highest quality care, making dentistry convenient and affordable for everyone. Join our new Hygiene team for the opportunity to have a fulfilling career giving our patients the happy, confident smile they deserve.

Responsible for dental insurance claim collections, follow-up and appeals activities.

Requirements:

In Office Role

M-F (8-5

1 Year in Dental field or Health Care field

Summary

• Responsible for timely processing of payments on behalf of our insurance carriers

• Internal departmental training for the role will be provided along with continued support from management and tenured peers

Responsibilities

• Ensure that all insurance claims are submitted to the payers in a timely manner

• Confirm that documentation needed for claim payment is attached and sent to the payer via NEA

• Review insurance EOB’s to ensure all procedures are paid correctly and in a timely manner

• Enter adjustments for non-appealable denials to maintain clean ledgers

• Follow-up and appeal unpaid or underpaid procedures when appropriate

• Identify issues and trends with your assigned payer and provide suggestions for resolution

• Work aging report to ensure all claims are paid

• Other duties as assigned

Skills

• Teamwork – Work to develop friendly and supporting team atmosphere

• Adaptability – Adapts to change in direction to support changing priorities

• Communication – Expresses ideas clearly and concisely

• Problem Solving – Ability to solve problems in an effective and timely manner without any impediments

• Self-Management – Ability to multi-task and exhibit good time management and organization skills to maximize productivity, Functions effectively under pressure

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Our client is looking for an Insurance Collector with at most 1 year of medical collections experience.

Position Summary: Research and secure payment for managed care accounts within the billing department. Utilize billing, collecting, research, correspondence, and independent problem solving skills of account errors. Reconcile complex, multi-payment accounts as necessary.

1. Perform the adjustments, refunds etc. common with billing knowledge to bring account to zero balance within established timeframes.

2. Follow up on required daily accounts based on assigned practice and/or payer to reduce the A/R and maintain performance indicators (KPI).
3. Submit appeal letters on unpaid and underpaid claims applications.
4. Prioritize work to minimize interruptions and increase efficiency in collections process.
5. Prepare and submit weekly and monthly AR summary of activity report for all assigned practices/payers to department manager with detailed action plans and/or unresolved issues.
6. Establish and maintain an efficient filing system for all employed provider group and payor contracts.
7. Preform retrospective audits of new self-pay accounts to update demographic information.
8. Participate in accounts receivable collection campaigns as needed to meet department goals.
9. Notify the contracted billing company of payor written refund requests. Prepares paperwork for the refund approvals.

Additional Duties:
1. HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
2. Compliance - Ensure compliance with all local, state, and federal regulations.
3. QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.

Qualifications:
1. High school diploma or GED

Experience:
1. Minimum of one year billing and accounts receivable experience in a physician practice environment.

Skills:
1. Proficiency and accuracy with multiple office tools and software.
2. Accurate data entry skills with the ability to input data into computer systems, compile statistics, and generate reports.
3. Ability to work under pressure.
4. Ability to demonstrate effective communication skills with providers and management staff.
5. Ability to draft and implement collection letters.
6. Proficient with excel and other Microsoft office products.
7. Knowledge of payor contracts.

Apply for this great position as an Insurance Collectortoday!
We are an Equal Employment Opportunity employer committed to excellence, diversity and inclusion.