Billing Specialist I

COLLECTIONS REPRESENTATIVE

The primary responsibilities of a Collections Representative is to ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

- Responsible for all third party billing and follow-up associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding account balances
- Maintains patient demographic information and data collection systems
- Work all billing/collection reports, queues, or diversions according to payer and company policy guidelines
- Researches and responds by telephone, via the Internet and in writing to insurance companies and governmental payers regarding billing issues and problems
- Follows up on submitted claims; monitors unpaid claims, initiates appeals and resubmits claims as necessary
- Transmit or submit claims (paper, electronic) to insurance payers for reimbursement
- Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
- Provide detailed follow up with patients and payers in the form of, but not limited to phone calls, fax transmittal's and e-mails
- Contact patients and Physician's offices as needed in order to expedite claims processing
- Obtain accurate demographic, insurance and financial information from patients to ensure all account information is accurate

Some of these may be for billing and others for more of a file transfer/data entry position.

Aerotek is acting as an Employment Agency in relation to this vacancy.