Claims Resolution Specialist
Select Medical
- Camp Hill, PA
- $17.50 per hour
- Permanent
- Full-time
- Investigate and follow-up on all open balances for accounts that have received a payment or denial, or that are greater than 30 days from billing. Contact responsible party to establish reason for non-payment document in system all verbal and written communication relative to open account balance, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment.
- Maintain consistent, productive, and timely follow-up, as often as is needed to collect on the account. Time between account follow up is not to exceed 30 days.
- Maintain a productivity of 20 to 25 accounts per day. This is subject to change based on volume changes and operational needs.
- Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.
- Regularly communicate with hospital staff and department management on any accounts receivable issues/problematic payor trends.
- Identify and resolve issues impacting the timely collection of open receivables.
- As necessary, request account adjustments as identified via write off requests and refund requests.
- Notify database operations of changes or additions to specific payor, plan, contract, address, or other pertinent information as necessary.
- Meet the expectations and goals for productivity and collections targets as set forth by management.
- Performs other duties or special projects as assigned.
- High School Diploma or Equivalent
- One year of experience (2+ years for remote candidates) within a medical billing, medical collecting or claims processing role.
- Computer Skills
- Microsoft Office:
- Outlook
- Excel
- Ability to work with multiple programs simultaneously.
- Good interpersonal, oral and written communication skills.
- Previous experience in metrics based role, where production/quality standards are upheld.
- Time management and organizational skills
- Proven experience with investigative research.
- Ability to work independently and as part of team to reach mutually established goals.
- Attention to detail
- Flexibility and being open to change
- This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
- An extensive and thorough paid orientation program.
- Paid Time Off (PTO) and Extended Illness Days (EID).
- Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
- A 401(k) retirement plan with company match.
- No Required Weekends
- Office Environment
- Hybrid Remote Work Structure
- Sitting for extended periods of time
- Ability to lift weight up to 35 lbs.