Application Systems DesignActively participate in the design and maintenance of highly reliable server-side applications, including but not limited to the Microsoft environment, enterprise applications, custom built applications, data backup systems and cloud services.Provide advanced knowledge of application systems software /hardware technology to the company, and participate in and consult on projects.Advise other IS teams on best practices for application/processes design.Participate in the maintenance of the enterprise application portfolio and inventory.
Application Systems Administration and OperationsExecute tasks related to tickets and service requests for basic to advanced server-side activities.Actively maintain application and server software, such as updates and upgrades.Analyze business needs; research and recommend solutions which include potential risks and mitigation.Actively configure and customize application systems.Help define, as well as run and review reports on applications performance and event anomalies; make minor and advanced internal adjustments and identify substantial gaps based on findings.Develop and maintain appropriate applications documentation, including current design and operation.Monitor and ensure quality of data transmissions.Actively configure user account access to applications as needed.Participate in an after-hours on-call rotation. Standards and Policy AdministrationPropose requirements and standards for application selection and deployment.Participate in the ongoing review of existing applications systems to ensure they are designed to comply with established standards and to empower business operations.Participate in developing and maintaining support policies and procedures.Assist with the development and management of application/database security policies and systems, such as web applications and SQL server security.Assist with the development and management of file exchange policies and systems, such as FTP.Participate in planning for and supporting disaster recovery and business continuity initiatives.
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Maintain standards and demonstrate proficiency and productivity in performing collections process for Lift, Group, Wholesale, Master Account, General Accounts Receivables
Resolve complex collections issues by collaborating with both internal and external customers regarding billing disputes
Identify reasons for non-payment and work with manager to develop plans on how to reach a resolution
Document and track contacts; follow up on customer commitments
Handle referral of outstanding receivables to corporate assigned collection agencies
Process and post daily lockbox, cash/check transmittals, credit card payment and wire remittance deposits to appropriate customer account and invoices
Assist with credit application process and tracking of customers out of compliance with credit policy; communicate with management and sales team regarding credit application and out of compliance customers
Demonstrate positive attitude toward staff, co-workers, internal and external customers, and management
Continuously work to improve A/R collections, cash transmittal and credit processes through quality improvements
Other duties as assigned
Job Requirements:
Previous experience in accounts receivable collections – HIGHLY PREFERRED
High School Diploma
1+ years accounting and/or collections experience
Experience with PeopleSoft, RPOS, Visual One, TREEV, Excel, Word, Access
Detail oriented, evidence an assertive personality, excellent multi-tasking and organizational skills, excellent oral communication skills and comfortable working in multiple computer systems
Insurance Billing and Insurance Collections. Reviewing patient statements and working closely with patients to collect on open balances.
• Review/update demographics and patient information for accuracy.
• Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes.
• Processing, validation of payer requests and processed claims via correspondence, remittance advice and EOBs (i.e., identification of payment discrepancies, inappropriate requests)
• Investigate all denied services to determine the reason for the service denial, appeal, if appropriate. Identify and report root causes associated with denials.
• Timely, effective processing of assigned appeals including development, submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes)
• Maximize utilization of Billing system, tools, and resources to support cash collection activities.
• Review and work various reports including aging, adjustments, and credit balances.
• Comply with Federal and State legislation pertaining to all billing related matters.
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