Collections Specialist
Location: 75% remote, 25% in office (4 days a month, must work in the Monroeville PA office)
Hours: Monday thru Friday 8:00am to 4:30 PM
Job Summary:
Collections Specialist will be responsible for reviewing denials, underpayments, follow up claims to all insurances including Medicaid for all states. Individual must work with internal personal and external operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Duties:
Collections Specialist will be responsible for reviewing denials, underpayments, follow up claims to all insurances including Medicaid for all states. Individual must work with internal personal and external operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Minimum Job Qualifications:
* Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work.
* Minimum 1 year experience working with healthcare reimbursement systems.
Preferred Job Qualifications
0-2 years of pharmacy billing experience
* Ability to prioritize daily tasks.
* Working knowledge of medical terminology.
* Customer service skills with the ability to work in a team environment.
* Experience in MS Word, Excel and Outlook.
* Strong communication, interpersonal, and prioritization skills
* Must be highly organized and detail-oriented.
* Ability to work in a fast paced, rapidly changing environment
* Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.
Education:
High School Diploma or GEDAbout NTT Data Services:NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Verifiable High School diploma or GED is required.
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Keywords:
collections specialist, healthcare reimbursement, medical billing, insurance claims, denials and underpayments, customer service, claims resolution, healthcare collections, billing practices, Microsoft Excel
