Collection Spec SLC in Earth City, MO at Parallon

Date Posted: 5/3/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
    Other
  • Experience:
    At least 1 year(s)
  • Date Posted:
    5/3/2018

Job Description

 
  • Working knowledge of all aspects of insurance claim filing, requirements and regulations.
  • Primarily responsible for PRINS work, which involves researching account specifics to complete necessary follow-up actions related to medical collections. 
  • Research account specifics to complete necessary follow-up actions related to medical collections
  • Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary in an attempt to resolve claims.
  • Analyze inventory to determine best next action to quickly resolve the accounts.
  • Ensure adjustments are posted timely and correctly for denied claims that need to be written off.
  • Post adjustment/write-offs if applicable.
  • Track and follow up on requests for refunds or recoupments in accordance with payer requirements.
  • Effectively Resolve Credit Balances according to regulatory and workflow requirements.
  • Follow-up on accounts by contacting third-party payers via telephone/mail or electronic means for payment status, according to schedule of disposition to be worked on given days.
  • Research, identify and rectify any special circumstances affecting resolution of customer account.
  • Update account in system with any action taken or additional information attained when verifying benefits.
  • Escalate issues to Team Lead or Unit Manager as necessary.
  • Strict adherence to HIPAA, HiTech and all state and federal regulations relating to account collections and patient privacy.
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to Code of Conduct.
  • Performs other duties as assigned.

 

Job Requirements

EDUCATION

  • High school diploma or equivalent.

 

EXPERIENCE

  • Minimum 1 year work experience in customer service, preferably in a medical setting.  Prefer experience in Insurance, collections or related area.
  • Experience with Microsoft Office suite and standard office equipment (copier, fax machine) a must.