The Division 
The Constellation Kidney Group (CKG), a division of Constellation Software (TSX: CSU), is a collaboration through the acquisition of leading suppliers of billing and clinical EHR software to deepen innovative solutions that enable kidney care providers around the world to achieve their business objectives. The individuals, products, and services of these organizations now power the Constellation Kidney Group. 
 
Job Description: 
The Constellation Kidney Group (CKG), is seeking an energetic, independent, and detail-oriented Collection Specialist to join our Contour office. The candidate must be resourceful, inquisitive, and self-motivated, possess strong interpersonal skills, and be capable of handling high work volumes with accuracy during peak periods. The learning opportunities, in terms of international accounting rules, processes, and tools, are immense. However, the ideal candidate will be one who brings drive and initiative to the learning process. 
 
Job Duties and Responsibilities:  

• Maintains consistent income and adequate control of the client's A/R.  

• Receives, researches, and resolves all correspondence issues from insurance companies and provides additional information when requested.  

• Verifies patient insurance coverage. Making changes whenever necessary.  

• Enter payments and adjustments against the appropriate service items on accounts for the month whenever necessary. Balances these against the Batch Control Logs.  

• Generates and submits all insurance claim forms in coordination with Client Rep. This will also include the generation and submission of electronic claim files and resubmissions whenever necessary.  

• Submits patient billing statements monthly.  

• Reviews monthly credit balance reports and apply the money to the appropriate accounts.  

• Documents appropriately any action taken on patient's accounts using the online patient tickler.  

• Works to resolve all Bad Address returns by mail.  

• Receives and resolves client and/or patient requests within 48 hours.  

• Independently evaluates and resolves issues as needed. When appropriate, escalate issues to maintain acceptable support response time and customer satisfaction.  

• Appropriately communicates with clients' ongoing issues through resolution.  

• Determines why and resolves any accounts that are unpaid by insurance companies.  

• Maintains proper communication with insurance companies.  

• Notifies Client reps and /or clients of needed referrals and authorizations.  

• Works effectively across departments as needed to achieve common goals.  

• Actively contributes to HMG's effort to provide excellent client support.  

• Follows all internal policies and procedures to ensure timely completion of work.  

• Provides internal assistance, when requested.  

• Actively contributes to the Company's efforts to provide excellent client service.  

• Comply with the ethical and legal requirements, specifically HIPAA regulations.  

Job Requirements:  

• Bachelor's degree or equivalent.  

• Two years of customer service experience and/or 2-3 years of experience in follow-up in a medical or financial setting.  

• Must have excellent verbal and written communication skills.  

• Ability to work both independently and as an excellent team player.  

• Must be able to cooperate and work effectively with all levels of expertise within the organization.  

• Ability to analyze issues logically and efficiently and address multiple priorities in a professional manner.  

• Must be detailed oriented.