Appeals Collector - Tampa Shared Service Center in Largo, Florida in Largo at Parallon

Date Posted: 11/9/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Largo
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/9/2018

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

Job Requirements

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
EDUCATION
High school diploma or GED required
EXPERIENCE
• Minimum one year related experience required, preferably in healthcare
• Relevant education may substitute experience requirement.
CERTIFICATE/LICENSE -
PHYSICAL DEMANDS/WORKING CONDITIONS
Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.

Parallon
ParallonBCOM
MOC: 3043, 001672