Experienced Humana Insurance Collection SpecialistAIS Healthcare • New Orleans, LA, US
Experienced Humana Insurance Collection Specialist
AIS Healthcare • New Orleans, LA, US
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality. Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary. Evaluates payments / denials received for correctness and ensures they are applied accordingly. Identifies bad debt write-offs and A / R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures. Identifies any overpayments and / or duplicate payments and investigates and resolves accordingly. Processes refund requests, in accordance with policies and procedures. Maintains contact with other departments to obtain patient or insurance information needed for claim payment. Responsible for understanding all procedures within regulatory mandates. Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements. Makes calls to troubleshoot payment discrepancies and establish resolution. Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis. Consistently looks for areas to maximize claim reimbursement. Resolves issues that created a denial within 5 days of receipt of denial. Maintains strictest confidentiality; adheres to all HIPAA guidelines / regulations. Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies. Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes. Shares knowledge gained with other staff members and works as a team member. Interacts with others in a positive, respectful, and considerate manner. Performs other job-related duties as assigned. Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. Strong work ethic with personal qualities of integrity and credibility. Self-directed, detail oriented, conscientious, organized, and able to follow through. Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. Tolerant of frequent interruptions and distractions from staff and other internal support teams. Proficient in Microsoft Office, including Outlook, Word, and Excel.
This is a 100% remote opportunity; however, please only apply if you have 3 to 5 years of medical insurance collection experience .
AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.
AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities.
AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work from home model.
EDUCATION AND EXPERIENCE :
- A high school diploma or general education degree (GED) equivalent is required.
- 3-5 years of healthcare industry experience required.
- 3-5 years of medical billing and collections experience required.
- Home Infusion, Intrathecal Pain Management experience preferred.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
QUALIFICATION REQUIREMENTS :
Steps to Apply :
To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed.
Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.
portal.cultureindex.com / public / survey / general / 0BFB8F0000
AIS HealthCare™ is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.
We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.
[job_alerts.create_a_job]
Collection Specialist • New Orleans, LA, US
[internal_linking.related_jobs]
ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions.With a track record of excellence and reliability, we have proudly serve...[show_more]
Housing Specialist Opportunity.We are looking for a dedicated Housing Specialist to join our team in New Orleans, Louisiana.
This short-term contract to permanent position focuses on providing admin...[show_more]
Schedule : No evenings or weekends.D & A Services is an experienced debt collection agency that services the largest debt purchasers as well as direct bank issuers.
We were established in 2010 and we...[show_more]
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc.
Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more]
The Collections Specialist is responsible for managing accounts receivable and ensuring timely collection of payments from patients and insurance providers.
This role involves communicating with pat...[show_more]
The Collections Clerk position is responsible for calling delinquent accounts while maintaining the history within the ARCS System.
The Collections Clerk is also responsible for providing both the a...[show_more]
At OnPath Credit Union, we share a passion for delivering exceptional service.Your primary role will involve building relationships with our members, offering personalized solutions and identifying...[show_more]
The Call Center Agent will be answering inbound calls, converting them to leads, and later to towing jobs.Responsible for managing a whole lot of incoming and outgoing calls in the operations.Ident...[show_more]
Workers Compensation Claims Professional.The Claims Administrator is responsible for managing all aspects of the workers' compensation program (including statutory and USL&H coverage) for LNG opera...[show_more] At OnPath Credit Union, we share a passion for delivering exceptional service.Your primary role will involve building relationships with our members, offering personalized solutions and identifying...[show_more] 
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...[show_more]
We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
Lake Properties is adding a full-time Collections Admin to assist the Collections Department with efforts to collect past due balances from previous residents.
The Collections Admin also serves as a...[show_more] ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions.With a track record of excellence and reliability, we have proudly serv...[show_more] 
If you're passionate about helping people restore their lives when the unexpected happens, and providing the best customer experience, then our Mercury Insurance Claims team could be the place for ...[show_more]
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.
We believe that every award ...[show_more]
Schedule : Full-Time Salary Range : USD $55000.Job Category : Sales - Comparion The typical starting salary range for this role is determined by a number of factors including skills, experience, educa...[show_more] Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc.
Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more]
Collection Agents - Ongoing
ARMStrong Insurance Services • Metairie, LA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Housing Specialist
Louisiana Staffing • New Orleans, LA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Collector - Metairie
D&A Services LLC • Metairie, LA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Senior Environmental Technical Claims Specialist
Argonaut Management Services, Inc • New Orleans, LA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Collections Specialist
Omega Hospital • Metairie, LA, USA
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Collections Specialist
Adams and Reese • New Orleans, LA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Account Resolution Advocate (Collections)
OnPath Federal Credit Union • New Orleans, LA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Call Center Agent (Colombia)
24 Hours Group • New Orleans, LA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Workers Compensation Claims Professional
Aon • New Orleans, LA, United States
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Mortgage Servicing Specialist
OnPath Federal Credit Union • Metairie, LA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Registered Nurse Transfer Center-Nursing Administration-Full Time
Christus Health • Lakeview, LA, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Remote Consumer Feedback Specialist (Hiring Immediately)
Earn Haus • Terrytown, Louisiana, US
[filters.remote]
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]
Collections Admin
1st Lake Properties • Metairie, LA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Third Party Collection Subrogation Specialist
ARMStrong Insurance Services • Metairie, LA, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Appraisal Specialist
Mercury General • New Orleans, LA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
RN - Ochsner Extended Care - Full Time - Days - (HAU / ICU) - $30K Sign on Bonus Available!
Ochsner Health System • New Orleans, LA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Insurance Agent (Base salary + Uncapped commissions)
Comparion Insurance Agency • Metairie, Louisiana, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Workers' Compensation Claims Adjuster (CONTRACT)
Argonaut Management Services, Inc • New Orleans, LA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]