10/23/15- Collections Coordinator

10/23/15- Collections Coordinator

10/23/15- Collections Coordinator

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Accentuate Staffing is recruiting for a Collections Coordinator to join a well established healthcare company in the Raleigh area.  The ideal candidate will have experience with Medicaid and worked within the NC Tracks system.

Responsibilities:

• Coordinates, monitors, and manages the follow-up on unpaid claims.
• Monitors aging of claims to ensure timely follow-up and payment.
• Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
• Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
• Responds to inquiries regarding claims with under payment or non-payment.
• Ensures that claims are processed accurately through review and audit functions to ensure timely payment.
• Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment.
• Analyzes common errors to support quality assurance efforts.
• Ensures corrected claims are sent out and monitored for payment.
• Maintains a working knowledge and understanding of CPT-4 and ICD-9 codes.

Requirements:

• This position requires a high school diploma or GED and 3-5 years claims experience to include one year of data entry.
• An Associate’s degree is preferred and/or years of related experience may be accepted in lieu of degree.
• Strong customer service orientation and excellent written and verbal communication skills are required.
Must have experience with Medicaid and NC Tracks

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