A/R Collections Specialist II

Company: Satellite Healthcare
Location: Mesa
Posted on: May 23, 2023

Job Description:

The Collections Specialist II ensures that all collection activity is performed and completed accurately.This position is responsible and knowledgeable of Medicare, Medicare Advantage, Commercial and Medicaid Managed plans.
About Satellite Healthcare

Satellite Healthcare is more than simply a dialysis company. Since our founding in 1974, we have become the industry's leader in personalized quality care: 70% of our centers earn 4- and 5-star ratings from Medicaid and Medicare.gov, far ahead of all other providers. Our success in caring for patients can be attributed to our mission, our not-for-profit structure, and our people. Together, they create a powerfully patient-centered organization.

Our mission is clear: to make life better for people living with kidney disease. Because we are a non-profit, we can pursue that mission with all our resources, united by our passion for patient care. As part of our commitment to continuous improvement, Satellite Research explores new ways to elevate the effectiveness and delivery of dialysis therapy. And Satellite Wellbound is leading the industry in home dialysis because better outcomes and quality of life are our highest priority. We are also substantial contributors to community and philanthropic kidney initiatives.

Across our organization, we share a single mission - to make life better for those living with kidney disease. Watch our video to learn more about our mission.

About the Role

The Collections Specialist II ensures that all collection activity is performed and completed accurately. This position is responsible and knowledgeable of Medicare, Medicare Advantage, Commercial and Medicaid Managed plans. This position is also responsible for timely filing and following up with insurance payors on unpaid submitted claims to maintain a fluent revenue cycle. Assists management with Revenue Cycle support, training, and reporting.

Essential Functions:

• Assist in the preparation of various Revenue Cycle reports
• Works with Lead and management to develop goals, objectives and competencies for the Revenue Cycle team and provides training and motivation as necessary to support teams in meeting these goals
• Review, understand, and work unpaid and denied claims using QMS aging reports and clearinghouse worklists and reporting tools
• Recognize trends in aging reports and work with payers to decrease response/payment turnaround time.
• Initiate appeal requests per payer guidelines
• Research and understand payer contracts; identify timely filing and appeal deadlines
• Manage any worklists and reports in the external clearinghouse for unpaid or denied claims
• Maintaining follow up notes in QMS
• Respond promptly to all correspondence (fax, e-mail, telephone, mail) and ensures that all timely filing deadlines are met
• Insuring the confidentiality of patients and employee information in compliance with HIPAA guidelines
• Promote harmonious and constructive working relationships with all staff members to promote a positive and productive atmosphere
• Responsible for driving the Satellite Healthcare culture through values and customer service standards
• Accountable for outstanding customer service to all external and internal customers
• Develops and maintains effective relationships through effective and timely communication
• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
  The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite's Mission, Vision, and Values of Compassion, Trust, Quality, Innovation, and Teamwork. Employees must abide by all Satellite's standards of patient care, patient's rights and ethical treatment, and adhere to safety and quality programs.
  
  Education & Experience:
  
  • High School Diploma, GED or equivalent required; college courses or courses in insurance billing, data processing, or medical terminology preferred.
  • Five (5) years of experience in a medical collections environment.
    Any combination of education and experience that would likely provide the required knowledge, skills, and abilities as well as possession of any required licenses or certifications is qualifying
    
    Knowledge, Skills & Abilities:
    
    • Exceptional customer service to all clients
    • Working knowledge of Clinical EMR, billing system and any external clearinghouses used
    • Ability to understand and apply Medicare and Medicaid ESRD rules and regulations; knowledge with Medicare and Medicaid is preferred; understands the private insurance industry: PPO, HMO, POS, Medicare Advantage and Indemnity Plans.
    • Accurate keyboard and ten-key skills; must be literate in Microsoft based programs.
    • Ability to work effectively in a team environment and independently.
    • Excellent interpersonal skills.
    • Able to read, write, speak, understand and satisfactorily communicate with others in English in person, over the phone and via email.
      About You
      
      Making life better for those with kidney disease is a mission you can embrace fully and passionately. You want to learn about your patients beyond just their time in treatment. You know the value of compassion, commitment and especially collaboration. You believe in continuous improvement as a way of looking at everything. You pursue goals with determination and build long and productive professional relationships.
      
      What You Will Gain
      
      Relationships: You will work directly with a multi-disciplinary team who are just as passionate as you about making a difference in others' lives. You will also work alongside leaders who believe leading means serving; they support you in providing care that is unsurpassed in our industry.
      
      Impact: The care you provide will enable our patients to live a better life that meets their needs holistically.
      
      Growth: A Satellite career offers a lot of challenges, but also the support and leadership to learn and grow from each one. Here, the paths you find for fulfilling your aspirations don't need to be linear if that's your choice. With everything Satellite is doing to be a force for progress in the industry, you have many options before you.
      
      Satellite Healthcare, Inc. is an equal opportunity employer. Satellite Healthcare, Inc . does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
      
      Satellite Healthcare, Inc . offers a drug free work environment.

Keywords: Satellite Healthcare, Mesa , A/R Collections Specialist II, Accounting, Auditing , Mesa, Arizona