Using reports, tools, and other resources provided by Aveanna, the Accounts Receivable Collector 1 is responsible for the proper and complete handling of all aged patient accounts for the sole purpose of collecting the very highest possible percentage of every billed account. This position maintains close contact with branch location personnel while constantly and consistently attempting to ensure maximum payment from all payers is received timely. This includes payment for all primary, secondary, tertiary or any other payer for all billed accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts.
Essential Job Functions
Works and collects delinquent A/R accounts
Documents collection efforts in EMR notes screens to include payer contacts, phone numbers, issues, actions taken, etc.
Maintains current AR at an acceptable percent.
Maintains DSO at an acceptable level.
Achieves cash goal on a quarterly basis.
Keeps supervisor, and branch location personnel informed of any significant collection payer or processing issues.
Submits adjustments in an accurate and timely manner.
Requests Bridge Tickets to correct and update EMR.
Works with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner.
Understands payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.).
Understands and enforces SOX 404 controls
Reviews and responds to correspondence received from payers.
Reviews and submits guarantor statements as required. Responds to questions from patients regarding statements.
Addresses denials in an accurate and timely manner.
Completes document request forms and forwards to location as required.
Provides exceptional customer service.
Other duties as assigned by supervisor.
High school diploma or equivalent.
Minimum six (6) month prior healthcare insurance experience.
Effective verbal and written communication skills.
Computer literate and ability to type, file and maintain audit records.
Must be able to adhere to confidentiality standards and professional boundaries at all times
Attention to detail
Ability to remain calm and professional in stressful situations
Strong commitment to excellence
Quick-thinking and astute decision making skills
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 25 pounds
Prolonged walking, sitting, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Must have strong sense of smell and touch
Performs duties in an office environment during agency operating hours
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.