Appeals Collector HOU in Houston, TX at Parallon

Date Posted: 4/3/2018

Job Snapshot

Job Description

Job Summary – The Appeals Collector is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolution.



Supervisor –Appeals Manager

 

Supervises – not applicable

 

Duties (included but not limited to):



 Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients. *

Overcome objections that prevent payment of the claim *

Gain commitment for payment through concise and factual collection

techniques. *

Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response *

Communicate trends to management as identified *

Utilize effective documentation standards that support a strong

historical record of actions taken on the account. *

Meet the productivity and quality standards of the organization *

Complete and comprehend all educational requirements *

Practice and adhere to the “Code of Conduct” philosophy and

“Mission and Value Statement” *

Other duties as assigned *

 

KNOWLEDGE, SKILLS & ABILITIES

• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.

• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

• Interpersonal skills - able to work effectively with other employees, patients and external parties

• PC skills - demonstrates proficiency in Microsoft Office applications and others as required

• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

• Technical skills - Professional presentation skills needed to represent facilities in legal issues.

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

• Clinical skills – ability to read and interpret medical records a plus

• Adaptability - adapt well in a fast-paced changing environment



Job Requirements

EDUCATION



High school diploma or GED required



EXPERIENCE



• Minimum one year related experience required, preferably in healthcare

• Relevant education may substitute experience requirement.

 

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