Collection Associate

Qualifications:
• Bachelor's Degree (healthcare related course is preferred but not a requirement)
• Experience in medical billing/collection in US Healthcare industry is required; however we may consider individual with strong English communication skills (written and oral) and the ability to adapt and learn medical terminology within a specific time frame
• Must have strong call handling, writing and reading skills
• Knowledge of CPT, HCPCS, ICD 9 and 10 (including basic understanding of Medical Terminology) is an advantage
• Minimum typing speed of 45 wpm
• Proficiency in a range of computer software applications (such as MS Word and Excel)
• Good analytical skills
• Excellent organization and time management skills
• Able to work independently with minimal supervision and can handle a number of projects simultaneously
• Flexibility to work additional hours as necessary
• Willing to work on US Pacific Time

Job Responsibilities:
The main responsibility is to collect unpaid claims from private insurances, Medicaid, Medicare, IPAs and patients. This can be obtained thru:
• Analyze the responses (EOBs, COBs) from payers
• Assess the unpaid claims to make adjustments as necessary as well as make appropriate notes of actions and changes
• Review the payer’s contracts to clarify claim payment qualification
• Call insurances to check claim status or follow up on unpaid claims
• Find out the reason the claims were not reimbursed
• Research for possible solutions to fix claims in order to be paid
• Retrieve all the necessary documents to support the payment requirements
• Prepare necessary forms to appeal or dispute the denial of claims
• Resubmit corrected claims through the method of electronic or paper submission
• Advise clients of appropriate codes to be used to ensure reimbursement