Collector 1-Patient Accounting-FT-1st Shift

Huntsville Hospital Health SystemMadison, AL
74d

About The Position

The position involves reviewing and auditing accounts located in the contract management system on a daily basis to resolve and maintain collection status on an account prior to escalating to the Team Lead for further review. The role includes reviewing and processing commercial accounts through the contract/denial management system, verifying eligibility, correcting and resubmitting claims, and filing third-party insurances as necessary by adding/updating insurance information to the host system. The individual will utilize the denial management system and respond to requests from insurance carriers for additional information necessary to process claims. Additionally, the position requires reviewing EOBs in the contract management system to determine accurate account balances, detailed denial descriptions, and applicable appeal processes. The role also involves identifying and correcting transactions, such as invalid insurance information, incorrect charges, and posting errors in the host system, as well as resolving claims processing disputes related to denials and correspondence received.

Requirements

  • High school diploma or GED.
  • 6 months to 1 year of experience in hospital or physician office billing and collection processes.
  • Experience in producing account appeals with positive outcomes.
  • Experience working in an environment utilizing electronic billing and database management.
  • Experience preparing complex correspondence to resolve accounts.
  • General application knowledge of EXCEL and WORD.

Responsibilities

  • Review and audit accounts in the contract management system daily.
  • Resolve and maintain collection status on accounts before escalation.
  • Process commercial accounts through the contract/denial management system.
  • Verify eligibility and correct claims as necessary.
  • Resubmit claims and file third-party insurances.
  • Utilize denial management system to respond to insurance carrier requests.
  • Review EOBs to determine account balances and denial descriptions.
  • Identify and correct transactions in the host system.
  • Resolve claims processing disputes related to denials.

Benefits

  • Medical, dental, and vision insurance.
  • Life insurance.
  • Flexible spending accounts.
  • Short-term and long-term disability.
  • Retirement account options with 401K organization match.
  • Nurse residency program.
  • Tuition assistance and student loan reimbursement.
  • On-site training and education opportunities.
  • Employee discounts to phone providers, local restaurants, and tickets to shows.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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