Appeals Collector in Nashville, TN at Parallon

Date Posted: 8/2/2018

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

Job Requirements

• 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.

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