Appeals Collector in Orange Park at Parallon

Date Posted: 10/3/2018

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

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.

 
#ParallonBCOM

CHECK OUT OUR SIMILAR JOBS

  1. Customer Service Jobs
  2. Collections Jobs