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Baptist Hospitals of Southeast Texas

Collector - Business Office - Days

Career Insights for Claims Representative

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What they do

A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.

$51,054 / year median in Texas

+6% projected growth

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Job Description

We are looking to add top talent to our Baptist Hospitals of Southeast Texas team. Join us in performing Sacred Work!
Competitive benefits are offered including:
Matched Retirement Plan Paid Time Off Comprehensive Benefit Plan - Medical, Dental, Vision and Much More! Bonus Potential Summary/Objective Responsible for timely collections for accounts receivable; serves as the facilities primary contact for third party reimbursement issues; handles all written and verbal communications in a timely, professional manner; ensures proper payment and/or adjustment application has been performed by submitting proper codes. Essential Job Duties Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ensures all claims are collected timely within the goals set forth by management until claim is paid or deemed uncollectible. All collection follow up calls are made within the guidelines set by management until claim is paid or deemed uncollectible. Reviews RA's and EOB's to determine the status and/or rejection of outstanding claims; take appropriate action to resolve claim. Brings any payer issues/concerns to a member of management for review and resolution. Works with patients to resolve issues and facilitate billing and collection of claims. Works with outside departments, providers and insurance companies to facilitate billing and collection of claims. Required Education and Experience High School diploma or equivalent 1 - 3 years related experience Required License/Certifications N/A