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

Description:

  • Summary: Responsible for all aspects of insurancefollow up and collection activity. EssentialDuties and Responsibilities: 1.Responsible for all aspects of follow up and collections, includingmaking telephone calls, accessing payer websites. 2.--{PS..0}Identify issues or trending and provide suggestions for resolution. 3.Accurately and thoroughly documents the pertinent collection activityperformed. 4.--{PS..1}Review the account information and necessary system applications todetermine the next appropriate work activity. 5.Verify claims adjudication utilizing appropriate resources andapplications.6.--{PS..2}Initiate telephone or letter contact to patients to obtain additionalinformation as needed. 7.Perform appropriate billing functions, including manual re-bills as wellas electronic submission to payers. 8.--{PS..3}Edit claims to meet and satisfy billing compliance guidelines forelectronic submission. 9.Manage and maintain desk inventory, complete reports, and resolve highpriority and aged inventory.10.--{PS..4}Participate and attend meetings, training seminars and in-services todevelop job knowledge.11.Participate in the monthly, quarterly and annual performance evaluationprocess with their Supervisor. 12.--{PS..5}Respond timely to emails and telephone messages as appropriate. Communicate issues to management, includingpayer, system or escalated account issues.13.Ability to perform all other duties as assigned or requested.

Qualifications

Qualifications:

  1. Communication – communicate clearly and concisely, verbally and in writing; utilize appropriate method/tool to communicate with other departments as necessary

  2. Interpersonal skills - able to work effectively with other employees and external parties

  3. Policies & Procedures - demonstrate knowledge and understanding of organizational policies, procedures and systems; ensure confidentiality of all patient accounts by following HIPAA guidelines

  4. Performance – maintain performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met

  5. Time management and organization - perform work under tight guidelines, must be detail oriented and well organized. Ability to prioritize and control workload.

  6. Demonstrated critical thinking, creativity, problem solving and decision-making skills

  7. Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

  8. Intermediate knowledge of CPT and ICD-9 codes

  9. Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation

  10. Intermediate knowledge of insurance collections and insurance terminology

Reasoning Ability:

· Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills:

· To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and E-mail software

Certificates and Licenses: None

Supervisory Responsibilities: None

Education/Experience:

· Minimum High school diploma or general education degree (GED). In addition, one to three months related experience and/or training preferred.

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1739309