Collections Associate II (Onsite)

Description

About Our Company

Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don’t just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged! If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you’ve been looking for.

Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com

About The Position

Hours: 8:00 AM to 5:00 PM CT, Monday to Friday

Location: Onsite

The Collections Associate II is responsible for processing insurance claims and billing. The Collections Associate II will work within the scope of responsibilities as dictated below with guidance and support from Insurance & Billing leadership teams.

Essential Functions

• Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.
• Verifies patient eligibility with secondary insurance company when necessary.
• Bills supplemental insurances including all Medicaid states on paper and online.
• Mails all paper claims.
• Manages billing queue as assigned in the appropriate system. Investigates and updates the system with all information received from secondary insurance companies.
• Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
• Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
• Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
• Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
• Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback as to improve processes and policies.
• Attends all department, team, and weekly company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets patient service quality standards.
• May perform any additional responsibilities or special projects as required.
• Duties and responsibilities may be subject to change based upon the needs of the department.
• May provide cross-functional support as business needs demand.

Requirements

• High School diploma or equivalent
• 6 months experience with insurance billing and processing claims
• 6 months experience with Medicare claims, and Medicare and private insurance verification
• Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
• Knowledge of, or ability to learn all areas of collections specialization
• Proficiency in basic math and business calculations
• Working knowledge of computer/data entry with the ability to learn new systems
• Basic level of MS Office proficiency

Expected Competencies

• Friendly, professional and effective communications skills; able to calmly present solutions in challenging situations
• Effective interpersonal skills
• Clear diction and knowledge of the English language, both written and verbal
• Problem-solving and critical thinking skills
• Service-orientation and aptitude to resolve insurance and/or patient matters
• Self-directed accountability and reliability
• Cultural competence
• Cross-trained on all collections processes

Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilitie