Bill / Collect Specalist-3

Billing And Collection Specialist

The Billing And Collection Specialist is responsible for all aspects involved in bringing hospital and physician accounts to full payment and resolution. This role engages problem solving skills in order to ensure any roadblocks are resolved in the follow-up and billing process. The Billing And Collection Specialist is a focused individual who understands what is needed to collect outstanding balances and conclude accounts with a positive outcome.

Job Responsibilities

• The Billing And Collection Specialist is responsible for ensuring that cash goals are met on a monthly basis.
• Ensures that accounts are appropriately coded to system requirements for management of open accounts.
• Reports any unusual occurrences and difficult collection issues to PFS Supervisor and PFS Manager.
• Ensures all billing activity is posted to A / R system.
• Obtains medical records from HIM in a timely manner and ensures all that is needed for payment is attached at the time of billing.
• Monitors unbilled accounts and prepares status report weekly for PFS supervisor.
• Files corrected or late charge bills accurately and upon receipt of notification from data quality or PFS supervisor.
• Working with outpatient access and inpatient financial counselors, ensures all referrals and prior authorizations are completed and loaded in the system accurately prior to submission of bill.
• Obtains payer requested documents to ensure timely payment, i.e., med-pay letters, patient questionnaires, police reports, RA's / EOB's, medical records, etc.

Required Minimum Education

Required Minimum Certification

Required Licensure

Required Minimum Experience

Required Minimum Skills

Preferred Qualifications

Physical Demands