Community Health Systems SSC Collections Lead in Franklin, Tennessee

Description:

Summary: The Collections Team Lead position is primarily responsible in assignment of daily workflow, assisting collectors, and reporting to SSC (Shared Services Center) management and the hospital CFO(s).

Essential Duties and Responsibilities include the following.

  • Ensure accurate and complete account follow-up

  • Ensures all appropriate internal collection steps have been taken.

  • Assess each account for balance accuracy including the following and make any necessary adjustments.

  • Payer plan and financial class accuracy

  • Billing accuracy

  • Denials

  • Insurance requests

  • Documenting appropriately and submits corrections or request for processing in a timely manner.

  • Work with collectors to ensure all daily workflow is current.

  • Provide training, support and assistance to collectors when needed.

  • Provide appropriate audit request to individual facilities.

  • Corresponds with hospital BOM s and CFO s when needed to obtain outstanding detail for reports.

  • Assure compliance with all hospital and regulatory policies and procedures related to responsibility.

  • Performs other duties as assigned

Qualifications

Qualifications: 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.

Knowledge/Abilities:

  • Carrier-specific reimbursement as applicable to claim processing to include

  • benefits and coverage according to specific carrier,

  • UB 04 claims form preparation

  • 1500 claims form preparation

  • Must be able to communicate effectively and professionally with strong attention to details and problem solving both verbally and written. Reasoning Ability: Ability to define problems collects data, validate data, establish facts, and draw valid conclusions. Computer Skills: Required

  • Intermediate knowledge of Microsoft Office Tools (Outlook, Excel, Word and PowerPoint)

  • Proficiency in hospital patient accounting and billing systems.

Preferred

  • Artiva

  • HMS

Certificates and Licenses: None Required

Supervisory Responsibilities: Workflow assignment only, no direct reports.

Education/Experience:

  • Required High School Graduate or GED equivalent

  • Required Medical collections experience

Minimum 2 year experience in a hospital business office department

Job: Business Office

Organization: Shared Services Center - Franklin

Location: TN-Franklin

Requisition ID: 1747835