Collections Specialist

Company: Francisan Health
Location: Hammond
Posted on: November 22, 2021

Job Description:

Train on site at the CBO (Hammond, IN) and then transition to Work from Home. WHAT WE NEED Persistent, organized financial support WHO WE ARE LOOKING FOR * Some people love getting to the bottom of things -- chasing down claims, resolving accounts, digging through the details to identify discrepancies and needs. Yes, we're talking about people who love collections. And it takes a love of getting into the details to do this job well. * * Do you have top notch customer service and data entry skills? Are you good at following through on inquiries? Are you accurate and organized? We'd love to talk to you about working here. WHAT YOU WILL DO * Ensure follow-up of claims on a timely basis and adhere to contractually binding conditions. * Daily review denials and payment discrepancies identified on EOB, RA, or Payer Correspondence. * Identify trends of denials, provide documentation and data and offer suggestions for process improvement to resolve issues. * Review system work-list, report on a daily basis to resolve accounts, which have not been paid within 30 days of claim submission. * Document activity in an accurate and timely manner on the patient account. * Maintain follow up procedures and working relationships with departments such as HIM and/or Patient Access. * Verify newly received status information and update the patient account. * Ensure compliance with all state and federal billing regulations and report suspicious activities to the appropriate person. * Work with the department on process improvements to create efficiencies and achieve overall goals. WHAT IT TAKES TO SUCCEED * Prior experience in patient accounting, specifically billing, collections, customer service, or cash application. * Working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated knowledge of Revenue Cycle procedures. * Knowledge of billing and collection systems. * Customer service skills. * Concentrate for long periods. * Data entry. * Effectively communicate verbally and in writing. * Knowledge of HIPAA Guidelines and the role of the Healthcare provider related to insurance processes. EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.

Keywords: Francisan Health, Hammond , Collections Specialist, Accounting, Auditing , Hammond, Indiana