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AI Summary

Manage collections for multiple clients by monitoring insurance contracts, tracking trending denials, and researching account receivables. Identify and correct claim errors within clearinghouse and EMR systems while performing follow-up calls to insurance companies.

Our company is seeking a full-time Collections Consultant to work on our Home Health or Hospice Project  Collections Teams. The ideal candidate for this job has a minimum of 4 years of experience in commercial claims follow up and collections and has excellent time management skills. The ideal candidate will have revenue cycle consulting experience preferably with a third-party consulting firm.

Responsibilities & Expectations:

·         Collections for multiple clients

·         Ability to read an insurance contract and monitor claims accordingly

·         Track trending issues such as reoccurring denials, payment variances, and payer processing delays

·         Work with multiple systems daily

·         Ability to adapt to change with ease

·         Review EOB’s to identify payment errors, denials and low reimbursement

·         Identify and correct claim errors in clearinghouse and EMR systems

·         Make phone calls to insurance companies for claim follow-up

·         Research account receivables for both Medicare and Non-Medicare collections

Requirements:

·         Must have 4 years of experience in commercial claims follow up and commercial collections

·         High School Diploma 

·         Ability to utilize Microsoft Office efficiently, including Outlook (email and calendar), and Excel is a must.

·         Has experience with multiple EMR systems

·         Has experience with denials/rejections in Waystar

·         Must be able to read, write, and follow directions in English

·         Must have knowledge of basic math skills

·         Knowledge of how to use a phone line system, copier/scanner, fax, and email is a must

·         Must be able to sit for at least eight hours per day and look at a computer screen

Compensation and Benefits

·         Hourly, 40 hours per week, full time, non-exempt position, hours are M-F, 8 AM - 4:30 PM CST (30-minute lunch break).

·         Paid Time Off (PTO; starts accruing day one and is available for use following probationary period of 60 days)

·         Eleven paid holidays off per calendar year, 2 additional floating holidays annually

·         Company paid medical and life insurance policy for employee upon eligibility

·         Dental, vision, and dependent medical coverage offered to employee, at cost upon eligibility

·         Retirement plan with company match available immediately upon hire

Job Type: Full-time

Why Healthcare Provider Solutions?

·         We believe in working hard for our clients and working even harder to make all employees feel respected and rewarded for their hard work.

·         HPS is growing! With that, comes the rewarding challenge of performing at a high level with an emphasis on teamwork.

·         The ability to work with a supportive team dedicated to providing excellent service

Healthcare Provider Solutions is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic, information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

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