The responsibilities of this job include, but are not limited to the following :
- Reviewing the status of accounts for OH clients as assigned;
- Conducting outreach to employers, insurance companies, Third-Party Administrators (TPAs), and patients via telephone and email to determine the status of claims and invoices and the steps necessary to complete for reimbursement;
- Conducting research into accounts with remaining balances and taking the necessary actions to achieve resolution;
- Re-filing or re-invoicing the appropriate responsible party for the amounts owed;
- Ensuring courteous and professional communication with all parties;
- Documenting efforts accurately and following up to ensure outstanding accounts are worked to completion and in a timely manner;
- Communicating effectively with the employer, insurance company, and TPA to understand the reasons for past due balances and identify solutions to prevent accounts from reaching this status;
- Working within OH to ensure information gathered is properly updated onto Industrial Client (IC) accounts as appropriate;
- Ensuring all Health Insurance Portability and Accountability Act (HIPAA) issues are addressed immediately and proper notifications are made to appropriate parties;
- Processing credit card payments while ensuring all compliance protocols are followed;
- Ensuring all productivity goals including the number of calls made and accounts worked daily are achieved on a consistent basis;
- Communicating trends or issues to the OH AR Supervisor;
- Performing other duties as assigned;
- Operating, using, and maintaining office equipment as trained.
Minimum education and professional requirements include, but are not limited to, the following :
- Employee must be 18 years of age or older;
- High school graduate or equivalent;
- Experience working in outbound call center preferred;
- Knowledge of AR, OH Services, and WC preferred;
- Excellent verbal and written communication skills required;
- Ability to prioritize and multitask;
- Self-starter with the ability to work independently and achieve productivity goals;
- Computer skills required, including Microsoft Office applications (e.g., Excel, Word);
- Basic math and analytical / problem solving skills;
- Must be able to sit for long periods of time (4 to 7 hours at a time).
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