Collections Specialist - Healthcare

Summit BHC

9d•Remote

About The Position

The Collections Specialist is responsible for providing AR management to include insurance account follow up in a timely and effective manner using healthcare business software applications as a part of the Centralized Business Office team. Responsibilities include recording receivable activities, identifying and resolving account discrepancies to ensure timely reimbursement.

Requirements

High School or GED required
Three or more years of hospital or physician insurance collector experience required.
Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding.
Excellent written and verbal communication skills.

Nice To Haves

Associates degree preferred.
Prefer behavioral health experience.

Responsibilities

Pursues payment from third party payers as well as patients when needed. Initiates contact with third-party payers and tracks payment progress.
Ensures assigned follow up queue is current and noncompliance accounts are limited to no more than 7 days delinquent for follow-up.
Prepare adjustment forms and refund requests for management approval.
Reports payer and denial trends to upper management through continued communication with local UR teams.
Participates in AR Review calls with assigned facility.
Managed daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 40 accounts worked per day minimum. Definition of worked account means activity that produces resolution of payment. Worked accounts will be sampled to assure steps taken did or will assist in payment.
Research slow or disputed claims and takes appropriate action.
Generates AR reports as required by management.