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

Description:

  • Working knowledge of all facets of insurance claim filing, requirements and regulations

  • Maintain work queue in ClaimIQ daily to ensure timely follow up

  • Research account specifics to complete necessary follow up actions

  • Contact insurance payors via telephone on aged/delayed claims for resolution

  • Contact patients/insurance companies on unresolved claims

  • Communicates with all parties in a professional manner and provides explanations regarding the account(s)

  • Ensure confidentiality of all patient accounts by following HIPAA guidelines

  • Adheres to compliance of CMS and other payor guidelines

  • Responsible for being aware of the current department policies and procedures

  • Posts any denials received from insurance payors

  • Post adjustment requests and explanations timely as identified

  • Meet or exceed quality and quantity benchmark targets as established by management (productivity, AR days, Cash Collections, Bad Debt, Past Due Follow Up)

  • Communicate daily with management on payor trends identified

  • Maintain complete and accurate follow up actions in ClaimIQ/DAR

  • Attend in-services, education sessions and department meetings as scheduled

  • Performs other duties as assigned

Qualifications

  • Highschool diploma or equivalent

  • Workingknowledge of the revenue cycle

  • Workingknowledge of medical terminology and/or insurance claim filing experience

  • Detailoriented, analytical and ability to problem solve

  • Excellentwritten and oral communication skills

  • Workingknowledge of Microsoft Word and Excel or equivalent

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1814060