Community Health Systems PCCM Collector in Franklin, Tennessee
CHSPSC, LLC is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate, or lease 199 hospitals in 29 states.
CHSPSC, LLC seeks a Collector-Payment Compliance for its Franklin, TN, headquarters Revenue Cycle service team.
The Collector is responsible for timely and efficient resolution of identified underpaid/overpaid accounts.
Essential Duties and Responsibilities:
Manage underpayment/overpayment account follow-up and internal escalation
Reconcile account balances and adjustment to assure accurate status
Resolve underpayments through daily communication with payors
Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
Evaluate trends and works towards resolution and improvement of revenue cycle processes
Interpret contract reimbursement and provide feedback to the department
Work with financial and clinical departments collaboratively
Review contract validation, updates and interpretation
Resolve underpaid/overpaid claims in an effective and timely fashion
Ensure account analysis is validated prior to distribution
Other duties as assigned
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Initiative to work independently
Proficient with telephone and email communications
Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes
The collector must have the ability to define problems, collects data, establish facts, and draw valid conclusions. The collector must have the ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
To perform this job successfully, an individual should have:
- Required PC competencies including intermediate Microsoft Office skills
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High School graduate or equivalent
Minimum of 1 (one) year of hospital revenue cycle experience, equivalent work or educational experience
Maintain applicable continuing education requirements
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Ability to prioritize and work on multiple projects/initiatives at a time
Must possess excellent time management and organizational skills and possess the ability to work independently
Job: Corporate Positions
Organization: Shared Services Center - Franklin
Requisition ID: 1737361