Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Collection Specialist
Location
United States
Posted
9 days ago
Salary
Not specified
Job Description
Role Description
As a Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization.
- Expertly communicate with clients to resolve outstanding balances
- Meticulously document interactions
- Negotiate payment arrangements
- Diligently follow established protocols to ensure timely and effective collection efforts
- Maintain average QA percentage at a rate established for the Fiscal Year goal
- Perform follow-up on any outstanding accounts and obtain commitment for payment from insurance carrier via ETM views
- Maintain productivity percentage at a rate established for the Fiscal Year goal
- Send out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R
- Work on all denied accounts via the rejection views and have accurate action taken assigned for completion
- Resolve incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines
- Document on system all action taken on account so that it clearly communicates action taken
- Demonstrate knowledge and use of ETM, GE Centricity Business, and other related PBS Software
Qualifications
- High School Diploma or GED
- Three (3) years physician-billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment
- AHCCCS/Medicare/government Commercial payer experience
- HCFA1500 billing experience
- Previous experience with computerized billing system, MS Word and Excel
Requirements
- College level business courses (Preferred)
- Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Preferred)
Job Requirements
- High School Diploma or GED
- Three (3) years physician-billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment
- AHCCCS/Medicare/government Commercial payer experience
- HCFA1500 billing experience
- Previous experience with computerized billing system, MS Word and Excel
- College level business courses (Preferred)
- Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Preferred)
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