Insurance Collections Specialist-Medicare - NTT DATA
Monroeville, PA 15146
About the Job
Details Below:POSITION : Insurance Collections RepresentativeLOCATION : Onsite-Monroeville, PAJOB TYPE : This is a LONG-TERM CONSULTING assignment. Not Direct Hire.PAY: $19.50per hourHOURS: M-F 7:30am-4pmSTART DATE: 10/28/2024.
Key Responsibilities of the Insurance Collections Representative:
Collections Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors.
This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Required Qualifications2 Years Healthcare Insurance related experience.Experience using Microsoft Office products' specifically Excel, Outlook and Word.Minimum 2c year experience working with healthcare reimbursement systems.Working knowledge of medical terminology.
NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Key Responsibilities of the Insurance Collections Representative:
Collections Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors.
This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
- Timely response to Medicare audits and appeals
- Research and gather the appropriate documentation to form all levels of appeals for Medicare
- Third party follow-up associated with the dispensing g of prescription medication via telephone, Internet, and in writing
- Resolve issues with nonpayment of invoices due to insurance problems that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
- Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
- Maintain patient demographic information and data collection systems Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding collection issues and problems
- Contact patients and Physician's offices as well as insurance companies as needed in order to expedite claims processing
Required Qualifications2 Years Healthcare Insurance related experience.Experience using Microsoft Office products' specifically Excel, Outlook and Word.Minimum 2c year experience working with healthcare reimbursement systems.Working knowledge of medical terminology.
NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Source : NTT DATA
