Rosy Mackness

DecisionWave Technologies Inc ., 
Direct: (617) 844-0932 | fax (866) 758-0846

rosy at decisionwave.com

Role: AR Collector.

Location: Alpharetta, GA

Duration: 6 months contract to hire

Job Description

Education

Mandatory: High School Diploma or equivalent

Desirable: Undergrad

Experience

• Associates - Min 6 -12 months of AR follow up experience in Hospital Revenue Cycle Business

• Sr. Associates – Min 18 months of AR follow up experience in Hospital Revenue Cycle Business

• Technical Competencies: (Job related)

• Knowledge in liaising with healthcare insurance companies on behalf of health system/providers and follow up on outstanding AR

• Ability to analyze 835, 277 claim response and take necessary action

• Ability to deflect calls by proper analysis

• Knowledge in writing appeals and following thru appeals process

• Prioritize pending claims from aging basket and follow up at regular intervals to collect outstanding

• Resolve accounts to get paid with max 2 touches

• Check for appropriateness of insurance information and follow up with patient on a need basis

• Escalate difficult collection situations to management in timely manner

• Possess basic knowledge of entire RCM process

• Identify trends/patterns for better resolving of accounts and generate payments in bulk

SUMMARY OF DUTIES (BUT NOT LIMITED TO)

• Performs account receivables follow-up and resolution functions of insurance receivables in a manner that meets or exceeds key performance indicator (KPI) criteria.

• Demonstrates knowledge and understanding of standard bills forms, electronic claims submission with filling requirements and claims processing and query systems.  Function as a subject matter expert in assisting collection and payer team and escalate as appropriate to secure payment on outstanding account balances.

• Ability to recognize and identify billing problems and payer trends from EOBs and communicate effectively to leadership team to correct the errors/trends in a timely manner.  Update the account record to identify actions taken on the account.

• Demonstrate ongoing enthusiasm and commitment to the work assigned while practice and adhere to the “HIPAA” standards, “Code of Conduct” philosophy and “Mission and Value Statement” of the company and client.

• Function effectively within a team and participate and contribute constructively to produce results in a cooperative effort.  Work with Supervisor to receive feedback on performance and create a personal development plan.

• Other duties as assigned.

Soft Skills: (Job related)

• Professional Phone etiquette

• Solid Negotiating Skills

• Ability to Multitask

• Strong Interpersonal and integrity

• Positive Attitude

• Ability to problem solve

• Maintain confidentiality

• Physical Requirements

• Remain in a stationary position 95% of the time

• Occasionally move about inside the office to access office machinery etc.

• Constantly operates a computer and other office productivity machinery (i.e. calculator, copy machine and computer printer).

• Must be able to exchange accurate information over the phone and in person

Certification

• Medical Billing/Coding or RCM certification is preferred

Unfeigned  Regards
Rosy Mackness

DecisionWave Technologies Inc ., 
Direct: (617) 844-0932 | fax (866) 758-0846

rosy at decisionwave.com

Technical Competencies: (Job related)

• Knowledge in liaising with healthcare insurance companies on behalf of health system/providers and follow up on outstanding AR

• Ability to analyze 835, 277 claim response and take necessary action

• Ability to deflect calls by proper analysis

• Knowledge in writing appeals and following thru appeals process

• Prioritize pending claims from aging basket and follow up at regular intervals to collect outstanding

• Resolve accounts to get paid with max 2 touches

• Check for appropriateness of insurance information and follow up with patient on a need basis

• Escalate difficult collection situations to management in timely manner

• Possess basic knowledge of entire RCM process

• Identify trends/patterns for better resolving of accounts and generate payments in bulk

All your information will be kept confidential according to EEO guidelines.