DUTIES AND RESPONSIBILITIES

• 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.
• Responsible for assisting with all functions associated outstanding account balances on LOP and litigation cases.
• Work to successfully reduce days in A/R and meets assigned cash and productivity goals.
• Audit patient accounts to determine accuracy of codes/fees billed and payments/adjustments posted prior to submission to third parties.
• Prepare statements and billing ledgers in response to incoming legal inquiries
• Confer with legal counsel on claims with pending litigation matters, including AR follow-up.
• Settle and negotiate final settlement/resolution in accordance with company guidelines.
• Dispute unilateral settlements when necessary.
• Keeps informed on all current applicable personal injury regulations and requirements. Informs management and team members of changes and keeps documentation current and accessible.

Qualifications

EDUCATION

• High School diploma (or equivalent).
• Bachelor degree in related field preferred.

EXPERIENCE

• Minimum of 3 years of relevant experience in Healthcare collections or Personal Injury field.
• Experience with personal injury or litigation-related billing strongly preferred.

LICENSE(S)/CERTIFICATION(S)

• N/A

KNOWLEDGE/SKILLS/ABILITIES

• Strong knowledge of healthcare billing practices, AR follow-up, and reimbursement process
• Must have excellent communication skills, in both verbal and written communications. Must be able to comprehend and calculate intermediate level math equations.
• Excellent verbal and written communication skills with the ability to interact professionally with attorneys, patients, and internal teams.
• Proven negotiation and problem-solving skills.
• High attention to detail, organizational skills, and ability to manage multiple priorities in a fast-paced environment.

CORE COMPETENCIES

• N/A

Working Conditions

PHYSICAL REQUIREMENTS

• Talk / Hear
• See
• Sit
• Stand
• Manual Dexterity

Hazards and Atmospheric Conditions

• Normal Office Surroundings

Competencies

Agility

• Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
• Manages Uncertainty: Comfortable when things are in flux; readily shifts approach or behavior to fit changing circumstances.

Bias to Action

• Action Oriented: Propensity to act or decide and move forward with a logical approach; can decide and act without having the total picture.
• Delivering Results: Strives for high levels of achievement; maintains a clear and steady focus on meeting goals, despite obstacles; is resilient when encountering setbacks.

Customer Focus

• Identifying with Customers: Understanding who the external and internal customers are and what they value.

Managing Complexity

• Essence: Extracts the core meaning out of complex situations; can separate the important from the noise when problem solving; hunts for the root cause of successes and failures.

Manages Conflict

• Can hammer out tough agreements and settle disputes equitably. Stays positive, constructive, and respectful, even in disagreements or conflicts.

Disclaimer

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please