Collections Specialist

Published
September 12, 2021
Location
Atlanta, GA
Category
Job Type

Description

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

We offer a unique combination of deep healthcare expertise and analytics-powered technology solutions to help our clients improve operational efficiency, achieve financial integrity, and generate measurable results. This rolepursues collections on errant healthcare claims made to various healthcare provider entities.
JOB ROLES AND RESPONSIBILITIES:
1. Collect overpayments made by insurance companies and processes return payments from healthcare provider entities.
2. Document collection activity within internal databases.
3. Conduct regular communication with healthcare insurance clients and providers on aging inventory.
4. Send refund request letters to healthcare providers.
5. Contact healthcare providers via phone to discuss discrepancies in overpayments.
6. Ensure compliance with HIPAA regulations and requirements.
7. Demonstrate Company's Core Competencies and values held within.
8. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
9. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
The incumbent adheres to company policieis and procedures to facilitate provider collections and inventory management. An incumbent relies on established instructions and procedures, applies basic skills and may develop advanced skills using tools and equipment appropriate for the position. Duties and tasks are standardized and generally contain written instructions, allowing an incumbent to resolve routine questions and problems. Work is subject to defined work output standards and involves high volume claims collections. Work involves direct contact with internal and external customers.
JOB REQUIREMENTS (Education, Experience, and Training):
* High school diploma or GED along with at least two (2) years' of medical billing and collections experience. Bachelors' degree in a relevant field is preferred.
* Knowledge or experience with medical coding and regulations preferred.
* Required licensures, professional certifications, and/or Board certifications as applicable.
* Strong computer skills and familiarity with Microsoft Office programs.
* Must be able to prioritize, coordinate, multitask, think outside the box, and be energetic.
* Must be able to work independently while maintaining close attention to detail.
* Ability to adapt to a changing environment, handle multiple tasks, and demonstrate outstanding customer service skills.
* Specifications should support the essential functions identified in the job, assuring compliance with the Americans with Disabilities Act (ADA) and other such employment-related acts (i.e., ability to stand for long periods of time, ability to interact with customers or visitors, ability to lift up to 50 pounds, ability to travel).
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.
Note: This position cannot be located in Colroado.
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