Medicare Collections Specialist

Responsibilities

• As an Medicare Collections Specialist, you will be responsible for:
• Manage assigned accounts and ensure the timeliness and accuracy of billing, collections, and payment activity
• After an account is billed, the account becomes the Collector's responsibility. The Collector is responsible for:
• Verification that a claim is on file
• Follow up with the payer due to lack of payment
• Investigation of denials
• Coordination with the billers to address billing issues
• Coordination with the funding consultants to address documentation questions
• Preparation of correspondence, such as appeals, to dispute for the payment of accounts, request different denial codes, etc.
• Review of posted payments for accuracy and investigate discrepancies
• Document in the system all verbal and written communication relative to collection actions and expected outcomes of overdue accounts.
• Follow up every 30 days with insurance companies, clients, SPLs, and vendors to ensure the payment of accounts
• Alert the Manager of Collections of potential payment issues
• Recommend adjustments/write-offs to the Manager of Collections and receive approval prior to reconciling accounts
• Investigate refund requests related to accounts
• Meet the expectations and goals for productivity, quality audited accounts and cash targets as set forth by management
• Stay abreast of state, federal, and third-party funding regulations for assigned accounts ensuring billing and payment practices comply with third party payer requirements
• Perform various other tasks as assigned

Requirements

• High School Diploma
• 2 or more years of computer, accounting, collections, and high-volume medical billing and/or insurance claims processing experience
• Knowledge of payment posting process in regard to contractual adjustments and refunds preferred
• Knowledge of medical insurance claims procedures and documentation preferred
• Strong customer service and interpersonal skills
• Effective oral and written communication skills
• Teaming skills
• Proficient in Microsoft Office, Word, Excel, and Outlook
• Ability to research claim information via the internet
• Basic data and word processing skills
• Apply independent judgment and manage confidential information
• Ability to gather data and summarize information
• Time management and good organizational skills
• Excellent problem-solving skills
• Record management
• Work Environment Requirements:
• Ability to work at a desk for prolonged periods of time
• Ability to work with interruptions in a fast-paced environment
• Apply today!
• We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we'd love to hear from you.
• Where we stand:
• We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.
• Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled

Additional Information

Why join us? We're on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives . At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What's more, you'll be part of a work culture where collaboration is the norm and individuality is welcomed. As a member of our team, you'll have the power to make it happen. You'll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers' lives.

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