Collections Specialist - Alamogordo Admin Office 500 10th Street

Summary:

Review and resolve outstanding AIR 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 an average of 60 accounts daily
• Files appeals on denied claims and/or forward to the Nurse Auditor for review
• Process incoming mail correspondence from payers within 3 business days.
• Follow up with the payer via phone and/or the website 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.
• Verify and/or notify the Insurance Biller to submit a BC Catastrophic claim once the BC EOB is reviewed or payment received by BC primary
• Enter the USPS delivered date in the Patient Accounts system if applicable
• Enter detailed notes explaining account activity in the Patient Accounts system
• Respond to patient inquiries within 2 business days.
• Respond to interdepartmental inquiries within 2 business days
• Respond to payer requests within 2 business days
• Respond to emails 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 of regular occurrences and trends
• 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
• Notify supervisor of payers that accept electronic billing currently billed hard copy
• Performs other duties as assigned

Requirements:

Education

• High School diploma or equivalent.

Experience

• Prefer two (2) years of hospital or physician practice billing and/or collections experience.
• Able to work with volume accounts for resolution.
• Working knowledge of computers and calculators desired.
• Possess the ability to work with internal and external customers

Licenses, Certifications or Registrations

• Current American Heart -Basic Life Support (BLS)card.

Work Schedule:

Varies

Work Type:

Full Time