Collections Representative

Job description

     

JOB DESCRIPTION:

Abbott Rapid Diagnostics is part of Abbott’s Diagnostics family of businesses, bringing together exceptional teams of experts and industry leading technologies to support diagnostic testing which provides important information for treatment and management of diseases and other conditions.

The position of Collections Representative I is within the Acelis Connected Health Department located in the Philippines. This role is responsible for timely and accurate resolution of account receivables either through insurance payment collections, adjustment, or write offs.

This job description will be reviewed periodically and is subject to change by management.

RESPONSIBILITIES:

·  Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.
·  Submits adjustments or write-off requests for approval to resolve outstanding account balances.
·  Submits medical record packets for submission to the payer for claims reprocessing, reconsideration or appeal requests.
·  Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.
·  Resolves claim rejections accordingly in order to release a clean claim to the payer.
·  Responds to e-mail inquiries from different departments regarding pending insurance balances or claim denials.
·  Maintains accurate and detailed notes/documentation in applicable systems.
·  Keeps Supervisor and/or Manager informed of system issues.
·  Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA)
·  Other duties as assigned.

 BASIC QUALIFICATIONS | EDUCATION:

·  Completed at least 2 years in College or with an Associate or Bachelor’s Degree
·  Excellent oral and written communication skills
·  Thorough understanding of the US Healthcare Insurance claims

PREFERRED QUALIFICATIONS:

·  Proficient Medicare and solid general payer knowledge
·  Has the ability to read and interpret explanation of benefits
·  Basic Excel, Word and Outlook experience required
·  Typing using computer keyboards, 10-key pads and calculators
·  Strong Computer/Software Skills
·  Detail-oriented
·  Typing speed of 35 wpm
·  Occasional weekend work may be required
·  Must be flexible to work on a night shift (between 6pm to 10am) Philippine Standard Time.
·  Must be amenable to work on Overtime or during Rest Days when business requests for additional (paid) hours

COMPETENCIES:

·  Internal – At least 1 year tenure in ACH
·  External – 1 year of experience in Healthcare Insurance Collections and/or Correspondence

An equal opportunity employer, Abbott welcomes and encourages diversity in our workforce.

     

JOB FAMILY:

Accounts Payable & Receivables, Credit & Collection, & Payroll

     

DIVISION:

ARDx Abbott Rapid Diagnostics

        

LOCATION:

Philippines > Taguig City : Bonifacio One Technology Tower

     

ADDITIONAL LOCATIONS:

     

WORK SHIFT:

Standard

     

TRAVEL:

No

     

MEDICAL SURVEILLANCE:

No

     

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)