Community Health Systems Collector Specialist I (A/R) PRN =< 20hrs/wk in Sarasota, Florida

Description:

This is a PRN Collector Specialist position.

Summary: Responsible for all aspects of insurancefollow up and collection activity.

EssentialDuties and Responsibilities:

  1. --{PS..0}Responsible for all aspects of follow up and collections, includingmaking telephone calls, accessing payer websites.

  2. --{PS..1}Identify issues or trending and provide suggestions for resolution.

  3. --{PS..2}Accurately and thoroughly documents the pertinent collection activityperformed.

  4. --{PS..3}Review the account information and necessary system applications todetermine the next appropriate work activity.

  5. --{PS..4}Verify claims adjudication utilizing appropriate resources andapplications.

  6. --{PS..5}Initiate telephone or letter contact to patients to obtain additionalinformation as needed.

  7. --{PS..6}Perform appropriate billing functions, including manual re-bills as wellas electronic submission to payers.

  8. --{PS..7}Edit claims to meet and satisfy billing compliance guidelines forelectronic submission.

  9. --{PS..8}Manage and maintain desk inventory, complete reports, and resolve highpriority and aged inventory.

  10. --{PS..9}Participate and attend meetings, training seminars and in-services todevelop job knowledge.

  11. --{PS..10}Participate in the monthly, quarterly and annual performance evaluationprocess with their Supervisor.

  12. --{PS..11}Respond timely to emails and telephone messages as appropriate. Communicate issues to management, includingpayer, system or escalated account issues.

  13. --{PS..12}Ability to perform all other duties as assigned or requested

Qualifications

Qualifications:

  1. --{PS..0}Communication – communicate clearly and concisely, verbally and inwriting; utilize appropriate method/tool to communicate with other departmentsas necessary

  2. --{PS..1}Interpersonal skills - able to work effectively with other employees andexternal parties

  3. --{PS..2}Policies & Procedures - demonstrate knowledge and understanding oforganizational policies, procedures and systems; ensure confidentiality of allpatient accounts by following HIPAA guidelines

  4. --{PS..3}Performance – maintain performance standards that ensure the departmentis operating at peak proficiency and that established goals are consistentlybeing met

  5. --{PS..4}Time management and organization - perform work under tight guidelines,must be detail oriented and well organized. Ability to prioritize and controlworkload.

  6. --{PS..5}Demonstrated critical thinking, creativity, problem solving anddecision-making skills

  7. --{PS..6}Basic skills - able to perform basic mathematical calculations, balanceand reconcile figures, punctuate properly, spell correctly and transcribeaccurately

  8. --{PS..7}Beginning knowledge of CPT and ICD-10 codes

  9. --{PS..8}Beginning knowledge of UB-04 and Explanation of Benefits (EOB)interpretation

  10. --{PS..9}Beginning knowledge of insurance collections and insurance terminology

ReasoningAbility:

· --{PS..10}Ability to apply common sense understanding to carry out detailed butuninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables instandardized situations.

ComputerSkills:

· --{PS..11}To perform this job successfully, an individual should have knowledge ofWord Processing software, Spreadsheet software and E-mail software

Certificatesand Licenses: None

SupervisoryResponsibilities: None

Education/Experience:

· --{PS..12}Minimum High school diploma or general education degree (GED). Inaddition, one to three months related experience and/or training preferred.

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1760668