Account Settlement Associate (Medical Collections)

Who we are:

H-Wave is leading the way in drug-free rehabilitation and pain relief for those injured at work or at play. We are well-established in the work comp industry, with a solid reputation of results for over 25 years. H-Wave technology is used by over 100 professional sports teams in nearly every major sport, because nothing works better for creating immediate pain relief and sustained tissue recovery. It’s a multi-functional electrical stimulation device intended to speed recovery, restore function, and manage chronic, acute or post-operative pain.

The opportunity:

H-Wave is seeking an Account Settlement Associate who has a background in medical collections, more specifically working with DME and workers compensation claims. The ideal candidate has experience with data processing, money management, and/or maintaining payor relations. This candidate is proactive, thinks ahead, is driven, reacts quickly, and has a demonstrated history of persistence in influencing others.

A day in the live of an H-Wave Account Settlement Associate consists of calling adjusters, attorneys, and lien reps to negotiate the settlement of liens and outstanding balances, all while maintaining and building professional relationships.

Here’s a snapshot of what you’ll do:

• Work with Payors, (insurance adjusters, nurse case managers and attorneys) and develop/cultivate strong relationships with all customers.
• Educate payors on the H-Wave Unit.
• Receive incoming mail, review and determine if an action or response is required to be made in a timely fashion.
• Review explanation of reviews/benefits and bill codes to ensure proper codes for payment.
• Maintains up to date knowledge of the Total Care program and proactively uses selling and negotiation skills to identify eligibility and communicate program benefits to the customer.
• Regularly follow up on settlements and confirm payments are received.
• Review client accounts to ensure billing is accurate.
• Review accounts and identify trends with specific insurance carriers, states, and employers.
• Navigate difficult conversations with adjuster/payors
• Review client accounts and identify when to use third party intermediary vendors.
• Maintains thorough knowledge of our pricing agreements.
• Continuously reviews through client accounts and resubmit bills.
• Maintain up to date knowledge of medical and legal terminology applicable to vertical markets for WC and Auto Claims.
• Maintain up to date knowledge on state labor codes and guidelines to include: Laws governing collection efforts for durable medical equipment (H-Wave) and continued education workshops to gain more skills yearly.
• Delivers excellent customer service and meets the needs of all our customers while executing high volumes calls.
• Effectively build rapport and have thorough knowledge of the clients claim to effectively negotiate balances.
• Follow up on payments to ensure they are received.

What you’ll need to get an interview:

• 1-year medical collections, preferred
• Effectively manage multiple priorities and adapt to change within a fast-paced business environment
• Delivers Excellent customer service and meets the needs of all our customers -this is shown through call recording reviewed by manager/supervisor
• Basic knowledge of Microsoft Office Suite Products: Email exchange, excel, PowerPoint, SharePoint