Collections Specialist - Alamogordo Admin Office 500 10th Street

Description

Summary :

Review and resolve outstanding A / R accounts to ensure activities regarding patient accounts are reviewed and resolved in a timely and thorough manner, ultimately resulting in full payment on the account. This description is not intended to be a complete list of duties.

Responsibilities :

• Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his / her assigned area
• Maintains required core competencies.
• Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)
• Reviews payer EOB's but not limited to payment accuracy, patient liability, and appeal grievances.
• Work 60 accounts daily
• Files appeal on denied claims and / or forwards to the Nurse Auditor for review
• Process incoming mail correspondence from payers within 5 business days.
• Follow up with the insurance companies by phone and or web for the status of outstanding claims.
• Follow up with all insurance companies within 30 days of billing if there is no payment on the account.
• Enter detailed notes explaining account activity in the Patient Accounts system
• Respond to patient inquiries regarding the status of the patient's insurance within 2 business days.
• Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway.
• Accept payments over the phone.
• Research late charges to determine the cause; inform your supervisor if they are a regular occurrence.
• Report payer trends to Supervisor and Director of Patient Financial Services
• Maintain courtesy and respect at all times when working with internal and external customers
• Performs other duties as assigned

Requirements : Education

Experience

Licenses, Certifications or Registrations

Work Schedule : Varies

Work Type : Full Time