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Ankle & Foot Centers of America · 1 month ago

Insurance Collector

Peachtree City, GA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Ankle & Foot Centers of America is seeking an Insurance Collector responsible for contacting insurance companies to negotiate denials and appeal claims. The role involves reviewing and correcting charges, communicating with various parties to facilitate payment, and ensuring compliance with healthcare regulations.

Health CareHospitalMedical

Responsibilities

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

Knowledge of insurance processes and Medicare rules and guidelines

Identify insurance company or proper party (patient) to be billed secondary or tertiary insurances

Communicate with health care providers, patients, insurance claim representatives and other parties to facilitate 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 with supervisor, team members and appropriate resources to solve billing and collection questions and issues

Comply with the Health Insurance Portability and Accountability Act (HIPAA) in protecting patient privacy

Additional job related duties or projects as needed

Qualification

Navicure claims toolInsurance processes knowledgeCPTICD 10 knowledgeMedical Billing CertificationMedical Coding CertificationProficient computer skillsEthical conductProficient typing skillsEffective communicationTeamwork oriented