This is a remote job that requires the employee to work from home or a private area.

The Collections Representative is responsible for following up on delinquent surgery center claims, working an expected number of claims per day. The majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid, and Workers Compensation claims is a must. You will be given tools to calculate allowably and required to determine the appropriateness of reimbursement and appeal claims as necessary.

Job Responsibilities

JOB RESPONSIBILITIES:

• Contact payors and patients to effectively and accurately collect for services provided by Atlas centers.
• Interpret a managed care contracts, Medicare and Medicaid, and Workers Compensation to appropriately calculate allowably and determine the appropriateness of reimbursement
• Interpret patient eligibility and plan structure to determine patient responsibility
• Answer questions regarding account aging, denial types and other requests for analysis and detail by account, center, denial type or any other claim and invoice characteristics
• Work within the structure provided by Atlas leadership to address accounts that have been either under or overpaid, issuing credit balance information either to the insurance carrier or the patient.
• Participate as a team player, and have the ability to communicate well with team members, patients, customers, insurance carriers, etc.
• Good customer service skills and always demonstrate professionalism.
• Provide guidance and support to all Atlas parties to improve collections performance including the Account Receivable aging.
• Achieve a level of skill and expertise in systems and processes required to pursue collections.
• Apply the appropriate strategy to account resolution including thresholds for refunds, recoups, write-offs, adjustments and productivity targets.
• Where needed guide and support third parties working AR to ensure processes are followed and goals met.
• May work payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment to help the team meet goals in work quality and productivity.
• Reports out regularly regarding center AR performance, denial reasons, root causes and resolution plans and develops innovative ways to solve for aging AR

This is a remote position that requires a quiet workplace and a reliable internet connection.

Required Skills and Qualifications

REQUIRED SKILLS AND QUALIFICATIONS:

• This is a remote role and does not require travel or onsite
• High school diploma/GED or equivalent working knowledge.
• Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

• Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred.
• Additional related education and/or experience preferred.