Collections Administrator II
Location: Knoxville Tennessee
Description: Mednax is in need of Collections Administrator II right now, this occupation will be placed in Tennessee. For detail informations about this occupation opportunity please read the description below. American Anesthesiology is a growing physician group practice of anesthesia providers. Currently with practices in Florida, Georgia, the Carolinas, Texas, Tennessee, New Jersey and Virginia, American Anesthesiology and its affiliated professional group practices employ more than 485 anesthesiologists and more than 750 certified registered nurse anesthetists and anesthesia assistants in both hospital and office-based settings.
POSITION SUMMARY:
I. Reviews and corrects claims based on inquiries from internal and external customers and reports produced in-house. Corrects cl! aims errors and coordinates process for recovering claims paym! ent. Reviews on-line systems daily for follow-up on claims. Coordinates, processes, and audits claims to determine the cause for non-payment and takes corrective action to ensure claims payment. Detects errors and solves problems quickly, maintains positive customer relations, and effectively coordinates work with other departments.
II. ESSENTIAL DUTIES & RESPONSIBILITIES:
- Coordinates, monitors, and manages the follow-up on unpaid claims.
- Monitors aging of claims to ensure timely follow-up and payment.
- Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
- Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
- Responds to inquiries regarding claims with under payment or non-payment.
- Ensures that claims are processed accurately through review and audit functions to ensure timely payment.
- Reviews error co! des associated with claims to ensure correction, resubmission, and subsequent payment.
- Analyzes common errors to support quality assurance efforts.
- Ensures corrected claims are sent out and monitored for payment.
- Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims.
- Maintains a working knowledge and understanding of CPT-4 and ICD-9 codes.
- Prepares routine management reports, quality reports, and special reports as directed by supervisor.
- Communicates collection problems to supervisor and makes recommendations for changes.
- Assists other accounts receivable staff with workload and provides back-up support in their absence.
- Keeps current with health care practices and laws and regulations related to claims collections through participation in professional development activities.
- Answers telephone inquiries, questions, and concerns from pa! tients regarding the status of claims in a clear, concise, and courteou! s manner..
- Maintains office, department and operational procedures and standards consistently.
- Maintains a high level of confidentiality, ethical, and professional standards.
- Performs assignments accurately and on time, as directed.
- Maintains individual productivity and performance standards.
- Interfaces with external and internal customers to ensure optimal efficiency of service.
- Reports to work, meetings and professional obligations on time.
- Participates in administrative staff meetings and attends other meetings and seminars.
- Assists in evaluation of reports, decisions, and results of department in relation to established goals.
- Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed.
- Serves as a member of the Accounts Receivable Department Team. Performs duties necessary to ensure the team’s proje! cts/goals are completed.
- Takes ownership of special projects, researches data and follows through with detailed action plans.
- Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
- Performs other related duties as required and assigned.
- Adheres to American Anesthesiology, Department and HR policies and procedures.
- Perform other duties as assigned or requested.
This position requires a high school diploma or GED and 3-5 years claims experience to include one year of data entry. An Associates degree is preferred. Years of related experience may be accepted in lieu of degree.
Strong customer service orientation and excellent written and verbal communication skills are required. Individual must have knowledge and experience using information management systems and word processing applications. Individual must have comp! uter skills and the ability to effectively and efficiently use basic off! ice equipment such as telephone, copier, fax machine, calculator, and shredder. This position requires initiative, speed and the ability to prioritize tasks and have reasoning aptitude. Must be able to follow explicit instructions and be able to modify routine easily. Dependable attendance is required and must be able to work effectively with co-workers in a team oriented environment as well as must be flexible and adaptable to changes in processes and operations in order to meet ongoing business needs.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Mednax.
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This occupation starts available on: Fri, 13 Dec 2013 01:03:21 GMT