Patient Collections/Payer Specialist at TEKsystems

Patient Collections/Payer Specialist

Blue Bell, PA

Job Duties:

• Accounts Receivable Management: Manage and prioritize accounts receivable for insurance companies, government and independent/patient payers. Review aging reports, identify delinquent accounts, and take appropriate actions to collect outstanding balances.
• Billing and Coding Review: Review medical billing and coding documentation to ensure accuracy and compliance with industry standards and regulations. Identify discrepancies or coding errors that may have resulted in claim denials or payment delays.
• Contract Compliance: Monitor payer adherence to contractual obligations and escalate issues as needed. Provide insights and recommendations to optimize contract performance and reimbursement rates.
• Claims Processing: Resubmit claims to insurance companies, government and independent payers accurately and in a timely manner. Follow up on pending claims, rejections, and denials to resolve issues and facilitate prompt payment.
• Payer Communication: Maintain positive relationships with patients, insurance companies, and other stakeholders. Communicate with payer/patient regarding their account balances, insurance coverage, and payment options. Aid and guidance to patients in understanding their medical bills and resolving billing inquiries or disputes.
• Insurance Verification: Confirm eligibility, coverage limitations, and any pre-authorization requirements to prevent claim denials and billing discrepanciesarising from changes to patient carrier/plans.
• Compliance and Documentation: Ensure compliance with HIPAA regulations and other healthcare privacy laws in handling patient information and billing records. Document all payment verification activities, including correspondence with payers and internal stakeholders. Protects company value by keeping collection information confidential

Skills:

medical billing and coding, medical billing, insurance collections, cpt code

6 month contract to HIRE

Room for growth!

M-F 8a-4:30p

*Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.