Job Description
Job Description
Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.
Mission Statement : To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.
Overview : We are currently looking for qualified and experienced Medical Insurance A / R Collectors. The Insurance A / R Collector will be responsible for the following up on outstanding accounts and reviewing all open claims and aging reports. This is a full time position working 40 hours per week, Monday - Friday schedule. This position is located in our Gilbert, Arizona office,
Essential Duties and Responsibilities :
- Complete all daily, weekly and monthly checklists. Weekly reports to supervisor.
- Reviews accounts and / or follow-up documents for outstanding accounts receivable issues.
- Review Aging (60+) Reports.
- Reviews and appeals unpaid denied claims. Works oldest and largest amounts first.
- Contacts patient’s insurance and / or third party organizations by telephone, online, correspondence or meetings to resolve issues impairing reimbursement and secure proper reimbursement for billed services.
- Performs accurate and timely appeals via phone or written to ensure accurate payer fee schedule reimbursements obtained for all services performed.
- Reviews payer websites for updates regularly and reports to supervisors or other staff as needed.
- Communicates to physicians, nurses, financial counselors or other employees in a professional manner for any patient payer issues affecting patient care.
- Documents in patient accounts notes timely.
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits.
Knowledge and Skills :
Working knowledge of NCCN guidelines and CCI edits.Knowledge of appealing claims with payers chemotherapy related drugs, supplies utilized and SNF, LTC and Hospice in relation to insurance benefits.Knowledge of governmental, legal and regulatory provisions related to collection activities.Knowledge of CPT, Dx, HCPCS coding a plus.Knowledge of basic mathematics.Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.Knowledge of medical terminology.Education and Qualifications :
Minimum of 3 years in the healthcare reimbursement field preferred.We offer a competitive salary and a comprehensive benefit package including health insurance, 401(k) and a caring work environment. We are an E.O.E.
Visit our website at www.ironwoodcrc.com. "Outsmarting Cancer One Patient at a Time"