Collections

• Assess complex cases.
• Enable collaborative win/win settlement outcomes with law firms.
• Apply decision-making to ensure targeted performance results.
• Advance Customer/Partner Experience, Operational Performance, Negotiation and Collections strategies.
• Enact identified performance improvement recommendations.
• Directly manage a dynamic portfolio of assigned cases.
• Act as a back-up for team members away from their desk or out of the office.
• Deliver exceptional customer experience results while driving to identified performance targets.
• Maximize positive customer outcomes while delivering customer experience and financial performance targets.
• Promote and achieve high rates of customer/partner experience.
• Ensure delivery of targeted performance metrics and SLAs.

Representative – Servicing & Collections

• Support Billing and Collections staff
• Assist leadership in maintaining confidentiality and adhering to HIPAA compliance
• Submit and follow up on authorization requests and appeals with insurance companies via fax, phone, or online
• Request hospital records in a timely manner and follow up until received
• Submit or mail appeal letters, claims, and correspondence to insurance companies with appropriate documentation
• Document completed accounts for tracking purposes
• Review and distribute incoming faxes, mail, and emails to appropriate staff
• Link correspondence to accounts in the electronic records program for tracking
• Contact insurance companies to confirm claim receipt when needed because of payer issues or time-sensitive matters
• Review and complete rebills when needed
• Assist with training new hires, continuous training, and cross-functional efforts
• Perform other duties as assigned

Billing and Collections Coordinator

• Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation
• Maintain and update billing guidelines, fee schedules, contract rates, and related materials
• Review, document, and resolve incoming correspondence and payor calls
• Assist with payor-related tasks as needed
• Report payor issues and denial trends to the Lead/Supervisor
• Appeal and/or rebill underpaid claims and assist with payments as needed
• Maintain detailed and accurate account documentation
• Oversee accounts receivable
• Perform other duties as assigned
• Travel: 0%
• No supervisory responsibilities

Collections jobs in Colorado

Representative – Servicing & Collections

Billing and Collections Coordinator

Billing and Collections Specialist