Appeals Collector in Orange Park, FL at Parallon

Date Posted: 4/24/2018

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.
 
 
Parallon