Reimbursement/Collections Specialist in Pittsburgh, PA at The Geo Group

Date Posted: 8/12/2017

Job Snapshot

Job Description



Abraxas, a GEO Group company, is a leading provider of innovative and quality treatment programs for youth, adults and families. For 40 years, Abraxas has contracted with various county and state agencies for the operation of residential, community-based, detention/shelter services and alternative education programming.  We offer specialized services for hard-to-place juvenile populations including fire setters, sexual offenders and habitual offenders in addition to gender specific programming for females in need of treatment.

Summary

The position is responsible for generating all billing and resolving unpaid claims identified on Accounts Receivable Aging and various other reports, and also for reviewing and responding to all insurance billing-related correspondence. 

Primary Duties and Responsibilities.

  • Provide administrative and business support in preparing, updating, and monitoring program/facility budget requirements.
  • Uses coded data to produce and submit claims to insurance companies.
  • Ensures that claims formatting and data elements are in compliance with payer specifications
  • Works directly with insurance companies to get claims processed and paid.
  • Researches unpaid claims, determines and corrects cause, performs collection and follow up as needed.
  • Appeals and re bills underpaid or denied claims within payer deadlines.
  • Verifies patients' insurance coverage.
  • Identifies denial trends and researches root causes and reports findings to Supervisor for resolution.
  • Assist/monitor the Accounts Receivable reports.
  • Prepares itemized statements, bills or invoices, recording amounts due for services rendered.
  • Maintains records of invoices and supporting documents. 
  • Assists with posting of cash, reconciling accounts, and making authorized adjustments as needed.  . 
  • Ensures all payers are entered into the billing system accurately and timely.
  • Contacts customers to obtain or relay account information.
  • Composes various daily, weekly, and monthly reports as assigned.
  • Completes data entry.
  • Supports the Abraxas philosophy and mission and promotes the Seven Key Principles of care. 

Job Requirements



Minimum Requirements

  • The following education requirements are acceptable for this classification including:
    • High school diploma or equivalent; AND
    • At least two year of insurance billing experience.
    • Bachelor's degree in business related field preferred 
  • Other Qualifications:
    • At least twenty-one (21) years of age.
    • Criminal clearances (Act 33 and 34, specific State & child clearances and, if necessary, FBI).
    • Non-communicable diseases physical exam.
    • Valid driver's license from employee's state of residence.
    • Valid registered vehicle insurance.
  • Ability to work with computers and the necessary software typically used by the department. 

Equal Opportunity Employer