Medical Insurance Collector II

Position Responsibilities:

• Initiates follow-up activities with third-party payors regarding open claim balances; makes written and verbal inquiries to payors.
• Analyzes and problem solves account issues to full resolution.
• Reconcile claims/accounts to complete resolution, performing adjustment requests and updating patient accounts/claims online, utilizing appropriate transactions and consistently formatted notes that support future collection efforts and inquiries at both the insurance and customer (ie. selfpay) levels.
• Provides support for inquires from internal and external customers regarding account/claim status. Maintains updated information on patient accounts.
• Handles internal and external customer inquiries regarding account status and account history.
• Performs eligibility verifications on patient accounts as new insurance plans/carriers are identified; updates information on expired insurance plans/carriers.
• Researches issues off-line as needed with payor/patient; conducts follow-up calls with customers, initiating conference calls between insurance carrier and patients to resolve customer concerns.
• Researches and initiates refund requests due to overpayments by payor and/or patient.
• Determines when claims/accounts are deemed uncollectable; recommends and initiates bad debt write-offs procedures.
• Meets or exceeds key performance indicators measuring productivity, quality, and service level as defined by Senior Management.

Requirements:

• Minimum of 2-3 years billing and/or collections experience in a medical group, health care company, or hospital setting.
• Working knowledge of various insurance plans offered by both government and commercial insurances (PPO, HMO, EPO, Medicaid, HRAs, etc).
• Demonstrated ability to read and understand the information provided on EOBs, remittance advices, and other insurance correspondence.
• Working knowledge of medical billing and collections terminology - CPT, HCPCS, and ICD-9 coding.
• Working knowledge and understanding of HIPAA guidelines.

About Aerotek:

Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .