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HMS Insurance Collections Representative (Remote DBO)

Company: Huron Consulting Group
Location: Pensacola
Posted on: November 26, 2022

Job Description:

**The Opportunity**



Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.



Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.



Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.



Join our team as the expert you are now and create your future.



**Position Summary**



Billing: Under general supervision, provides patients, physicians, and internal hospital personnel with information regarding insurance benefit information. Ensures timely verification of insurance benefits and financial clearance when applicable for patient accounts that are scheduled and/or unscheduled.



Collections: Under general supervision, provides patients, physicians, and internal hospital personnel with information regarding insurance benefit information. Ensures timely verification of insurance benefits and financial clearance when applicable for patient accounts that are scheduled and/or unscheduled.



**Qualifications**



+ _Job Summary:_



The Insurance Collections Representative is responsible for following up directly with commercial and government payers to resolve billing issues and secure appropriate reimbursement in a timely manner. This individual identifies and analyzes denials and payment variances, then enacts corrective measures as needed to resolve the errors. This role is a remote position supporting a virtual business office. As such, this role requires frequent and effective communication via phone, email, and instant messaging with the various engagement teams. Strong oral and written communication skills, analytical skills, ability to work independently, and be self-motivated are required.



+ _Duties and Responsibilities:_



+ Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement



+ Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer



+ Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R



+ Effectively handles all communications, including telephone, electronic, and paper correspondence from payers and departments within the business office



+ Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress



+ Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies



+ Reports all identified compliance risks to appropriate leadership



+ Other duties and responsibilities as assigned.



+ _Reporting and Supervision:_



+ The Insurance Collections Representative will report to an HMS Manager



**Qualifications:**



+ _Candidate Requirement:_



+ Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle



+ Broad Knowledge of Government Programs and Insurance Regulations



+ _Knowledge, Skill, and Ability Requirements_



+ Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)



+ Ability to pay close attention to details; strong follow-up and follow-through skills



+ Requires the use of independent judgment, discretion and decision making abilities



+ Ability to interact with internal and external customers in a professional manner



+ Ability to ramp up on a client's environment, processes, historical context, and systems to provide support to an engagement as soon as possible



+ Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements



The estimated base salary range for this job is $15.00 - $25.00. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.



**Posting Category**



Healthcare



**Opportunity Type**



Regular



**Country**



United States of America



Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.



Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.

Keywords: Huron Consulting Group, Pensacola , HMS Insurance Collections Representative (Remote DBO), Accounting, Auditing , Pensacola, Florida

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