What are the responsibilities and job description for the Insurance Collector position at Ankle and Foot Centers of Georgia?
Job Description
Job Description
Description :
Responsibilities and Duties
- Responsible for reviewing, correcting, and releasing Epic Care charges.
- Demonstrate strong understanding and utilization of Navicure clearinghouse claims tool and Navicure rejection queue.
- Responsible for researching, correcting, and releasing accounts within AFF AFC Claim Edit Billing Work queue.
- Demonstrate comprehension and implementation of claim appeal process.
- Possess knowledge of insurance, especially Medicare, rules and guidelines.
- Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances.
- Review assigned accounts within the AFF AFC Follow up and Catch All WQs ensuring outstanding, pending, partially paid, and denied claims are paid in a timely manner.
- Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.
- Accurately file confidential correspondence and documentation.
- Review, research, and process refund requests as needed.
- Demonstrate knowledge of CPT, ICD 10, and procedural modifiers.
- Consult supervisor, team members, and appropriate resources to solve billing and collection questions and issues.
- Any other duties determined appropriate by management.
Requirements :