REPORTS TO

This position reports directly to the Patient Accounts Manager and works collaboratively with other Emergicon personnel across all departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES

·        Handle high-volume inbound calls related to claims and statement inquiries from patients, insurance companies, and law offices.

·        Make outbound calls to resolve delinquent accounts through patient payment arrangements.

·        Process credit card and ACH transactions efficiently and accurately.

·        Ensure compliance with state and federal collections regulations, as well as HIPAA requirements.

·        Other job-related duties as assigned.

EDUCATION AND EXPERIENCE

·        High School Diploma or equivalent (GED) required

·        Bilingual in English and Spanish a plus

·        At least six months of experience in customer service, collections, healthcare billing, or patient accounts required.

KNOWLEDGE, SKILLS, AND ABILITIES

·        Strong oral and written communication skills to interact effectively with customers and all levels of management

·        Proven ability to prioritize tasks, solve problems, and manage multiple responsibilities simultaneously

·        Strong interpersonal skills with the ability to collaborate effectively in a team environment

·        Proficient in general computer skills, including word processing, spreadsheets, and email applications

·        Knowledge of HIPAA compliance regulations and ability to handle sensitive patient information appropriately

WORKING CONDITIONS

Position requires long periods of sitting/standing at a desk while using a computer.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Meet individual production targets for claims processing while maintaining accuracy and compliance.

•  Retrieve and review incident data from clients to ensure all necessary information is collected.

• Communicate effectively with insurance adjusters, insured drivers, and businesses to clarify information and facilitate claim processing.

•  Verify the accuracy and completeness of submitted claims prior to submission.

•  Enter, update, and maintain insurance policy and claim information in the company database.

•  Calculate, prepare, and submit accurate billing to insurance carriers promptly.

•  Process inspection and claim payments, including over-the-phone payments.

•  Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution.

•  Manage appeals and respond to denied claims as needed, providing supporting documentation.

•  Contact responsible parties and insurance companies regarding claims outstanding over 30 days.

•  Maintain accurate and organized records for all assigned accounts.

•  Assist with special projects and perform other duties as assigned.

EDUCATION AND EXPERIENCE

•  High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.

•  Minimum of one year of experience in fire incident claims processing or a related field required.

•  Familiarity with fire terminology and report structure required.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

•  Intermediate or higher proficiency in Microsoft Office (Excel, Outlook, Word).

•  Strong customer service skills and professional demeanor.

•  Excellent verbal and written communication skills.

•  High level of accuracy and attention to detail.

•  Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

•  Strong organizational and time management skills.

Emergicon requires satisfactory pre-employment background check and drug screen.