Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a Third Party Insurance Collections Specialist to join our team in Bowling Green, KY.

Job Summary:
Performs tasks required to ensure the systematic and timely insurance follow-up and resolution of all accounts in assigned inventory. Documents all collection activity in the patient accounting system.

Responsibilities:

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Systematically checks status on outstanding claims either by telephone follow-up or through the payer online system

Corrects and resubmits claims when errors are identified through follow-up activity with close attention to policy number, subscriber name, group name/number and billing address

Responds timely to payer requests for additional information

Coordinates medical record requests as needed

Works all correspondence daily within 24 hours of receipt taking requested action in a timely manner to expedite payment

Enters clear and concise comments in the patient accounting system, thoroughly documenting all collection activity

Sets system reminders for future follow-up

Works system reminders daily

Follows up all insurance denials within 48 hours of receipt

Monitors denials for trends and issues and reports findings to supervisor

Ensures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the collections supervisor

Works with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department

As requested, participates in general or special assignments

Attends required training

Completes on-line training as assigned

Required Skills:

1+ years of healthcare receivables experience

Demonstrated knowledge of third party billing/collections procedures

Knowledge of claims review and analysis

Knowledge of Medicare, Medicaid and HMO contracts

Demonstrated skill and typing ability sufficient to function easily in a variety of hospital patient accounting and billing systems (SMARTS, FISS, Epic, ePremis)

Good oral and written communication skills

Good organization and time management skills

Computer literate

Ability to read, write and follow directions

Ability to establish priorities effectively

Self-directed and capable of working without direct supervision

Ability to work well with others

Dependable in both production and attendance

Minimum Educational Requirements:

High school diploma or equivalent

Perot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.

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