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Using reports, tools, and other resources provided by Aveanna, the Accounts Receivable Collector 1 is responsible for the proper and complete handling of all aged patient accounts for the sole purpose of collecting the very highest possible percentage of every billed account. This position maintains close contact with branch location personnel while constantly and consistently attempting to ensure maximum payment from all payers is received timely. This includes payment for all primary, secondary, tertiary or any other payer for all billed accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts.
Job Responsibility:
Works and collects delinquent A/R accounts
Documents collection efforts in EMR notes screens to include payer contacts, phone numbers, issues, actions taken, etc.
Maintains current AR at an acceptable percent
Maintains DSO at an acceptable level
Achieves cash goal on a quarterly basis
Keeps supervisor, and branch location personnel informed of any significant collection payer or processing issues
Submits adjustments in an accurate and timely manner
Requests Bridge Tickets to correct and update EMR
Works with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner
Understands payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.)
Understands and enforces SOX 404 controls
Reviews and responds to correspondence received from payers
Reviews and submits guarantor statements as required
Responds to questions from patients regarding statements
Addresses denials in an accurate and timely manner
Completes document request forms and forwards to location as required
Provides exceptional customer service
Other duties as assigned by supervisor
Requirements:
High school diploma or equivalent
Minimum six (6) month prior healthcare insurance experience
Effective verbal and written communication skills
Computer literate and ability to type, file and maintain audit records
Must be able to adhere to confidentiality standards and professional boundaries at all times
Attention to detail
Time Management
Ability to remain calm and professional in stressful situations
Strong commitment to excellence
Quick-thinking and astute decision making skills
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 25 pounds