Role: Commercial Collector
Location: Plano, TX 75024
Pay Rate Range: $ 22 – $ 26 / hour
Job Responsibilities:
- Processes and follows-up on third party collections. Reviews their party aging and follows-up on outstanding claims.
- Contacts insurance companies, patients, government agencies, other hospital departments, physician offices, attorney offices and other third party payers on aged and past due balances.
- Reviews and follows-up on Explanation of Benefit denials.
- Submits re-bills, tracers, and appeals; submits adjustments using appropriate reason code classifications. Identifies bad debt accounts for adjustment and identifies credits and refunds.
- Performs collection duties, rebilling research, correspondence, returned mail and problem solving of account billing errors.
- Verifies billing information for electronic claims transmission and hard copy billing. Follows-up on accounts billed both electronically and manually.
- Reviews remittance advice forms to verify proper reimbursement and make adjustments as necessary.
- Verifies coding with claims processors at third party payer companies regarding disputes/denied claims and follows-up on all bills not processed within usual claim period.
Requirements:
- Must have an understanding of reimbursement
- Commercial collections experience
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.