Role Description
The specialist will stay current on personal injury regulations, maintain accurate documentation, and work closely with legal counsel to ensure proper follow-up and resolution of litigation accounts.
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Responsible for assisting with all functions associated with outstanding account balances on LOP and litigation cases.
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Work to successfully reduce days in A/R and meet assigned cash and productivity goals.
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Audit patient accounts to determine accuracy of codes/fees billed and payments/adjustments posted prior to submission to third parties.
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Prepare statements and billing ledgers in response to incoming legal inquiries.
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Confer with legal counsel on claims with pending litigation matters, including AR follow-up.
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Settle and negotiate final settlement/resolution in accordance with company guidelines.
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Dispute unilateral settlements when necessary.
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Keep informed on all current applicable personal injury regulations and requirements. Inform management and team members of changes and keep documentation current and accessible.
Qualifications
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High School diploma (or equivalent).
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Bachelor degree in related field preferred.
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Minimum of 3 years of relevant experience in Healthcare collections or Personal Injury field.
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Experience with personal injury or litigation-related billing strongly preferred.
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Strong knowledge of healthcare billing practices, AR follow-up, and reimbursement process.
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Excellent communication skills, in both verbal and written communications.
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Ability to comprehend and calculate intermediate level math equations.
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Proven negotiation and problem-solving skills.
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High attention to detail, organizational skills, and ability to manage multiple priorities in a fast-paced environment.
Requirements
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Talk / Hear
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See
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Sit
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Stand
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Manual Dexterity
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Normal Office Surroundings
Benefits
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Comprehensive health, dental, and vision insurance
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Health Savings Account with an employer contribution
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Life Insurance
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PTO
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401(k) retirement plan with a company match
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And more!