Community Health Systems Collector Specialist I (A/R) in Sarasota, Florida

Description:

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

EssentialDuties and Responsibilities:

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

--{PS..2}2. --{PS..3}Identify issues or trending and provide suggestions for resolution.

--{PS..4}3. --{PS..5}Accurately and thoroughly documents the pertinent collection activityperformed.

--{PS..6}4. --{PS..7}Review the account information and necessary system applications todetermine the next appropriate work activity.

--{PS..8}5. --{PS..9}Verify claims adjudication utilizing appropriate resources andapplications.

--{PS..10}6. --{PS..11}Initiate telephone or letter contact to patients to obtain additionalinformation as needed.

--{PS..12}7. --{PS..13}Perform appropriate billing functions, including manual re-bills as wellas electronic submission to payers.

--{PS..14}8. --{PS..15}Edit claims to meet and satisfy billing compliance guidelines forelectronic submission.

--{PS..16}9. --{PS..17}Manage and maintain desk inventory, complete reports, and resolve highpriority and aged inventory.

--{PS..18}10. --{PS..19}Participate and attend meetings, training seminars and in-services todevelop job knowledge.

--{PS..20}11. --{PS..21}Participate in the monthly, quarterly and annual performance evaluationprocess with their Supervisor.

--{PS..22}12. --{PS..23}Respond timely to emails and telephone messages as appropriate. Communicate issues to management, includingpayer, system or escalated account issues.

--{PS..24}13. --{PS..25}Ability to perform all other duties as assigned or requested

Qualifications

Qualifications:

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

--{PS..2}2. --{PS..3}Interpersonal skills - able to work effectively with other employees andexternal parties

--{PS..4}3. --{PS..5}Policies & Procedures - demonstrate knowledge and understanding oforganizational policies, procedures and systems; ensure confidentiality of allpatient accounts by following HIPAA guidelines

--{PS..6}4. --{PS..7}Performance – maintain performance standards that ensure the departmentis operating at peak proficiency and that established goals are consistentlybeing met

--{PS..8}5. --{PS..9}Time management and organization - perform work under tight guidelines,must be detail oriented and well organized. Ability to prioritize and controlworkload.

--{PS..10}6. --{PS..11}Demonstrated critical thinking, creativity, problem solving anddecision-making skills

--{PS..12}7. --{PS..13}Basic skills - able to perform basic mathematical calculations, balanceand reconcile figures, punctuate properly, spell correctly and transcribeaccurately

--{PS..14}8. --{PS..15}Beginning knowledge of CPT and ICD-10 codes

--{PS..16}9. --{PS..17}Beginning knowledge of UB-04 and Explanation of Benefits (EOB)interpretation

--{PS..18}10. --{PS..19}Beginning knowledge of insurance collections and insurance terminology

ReasoningAbility:

--{PS..20}· --{PS..21}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..22}· --{PS..23}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..24}· --{PS..25}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: 1739311