Collections Administrator

Employee Type :  Full-Time Industry :  Social Services Manages Others :  No Job Type :  Accounting Education :  High School Experience :  At least 1 year(s) Post Date :  5/10/2012 Contact Information Contact : Human Resources  Description

Summary:  The is responsible for collections related to the eligibility, claim preparation, claim submission, claim resolution, claim follow-up and credit balance adjudication and reporting for all CFA services provided to recipients/members of Medicare, Medicaid and private insurance companies.

Essential Duties & Responsibilities

Make outbound calls to insurance carriers for Medicare/Medicaid and commercial collections Balance Billing to Medicaid payer after Private Insurance Companies pay for services Monitor Accounts Receivable Status (Aging) Resolve and correct rejected claims; prepare for resubmission RIM reporting (Philadelphia County) Negotiate payments or payment arrangements with Management guidance Identify and investigate delinquencies and recommend appropriate dispositions Investigate causes for non-payments, initiate claim adjustments and re-submit claims Track billing information and collection status in MS Excel and internal database Maintain strictest confidentiality  with adherence to all HIPAA Guidelines / Regulations Other duties as assigned by Management  Requirements

Education & Experience

            Minimum requirements for the position:

High School Diploma required, Associates Degree in Accounting or related field preferred 1-3 years of experience in medical or behavioral health collections Experience with Medicare/Medicaid and commercial collections Proficiency with Microsoft Office Software, with emphasis on Microsoft Excel Ability to learn Credible, Center’s computer-based client management system Strong organizational skills and detail orientation Ability to multi-task and prioritize Problem solving skills and perseverance Ability to handle confidential information and meet deadlines

 

 Physical Requirements

Employee must have the physical ability to complete the essential functions of this job.

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