Recovery Audit Collections Specialist in Orange Park, FL at Parallon

Date Posted: 7/15/2018

Job Snapshot

Job Description

Job Summary – Responsible for performing collections, daily appeal audit follow-up, monitoring RAC audit trends and issues and updated financial transactions.

Supervisor – RAC (Recovery Audit Contractor) Manager

Duties (included but not limited to):
• Review medical records and other documentation for accuracy and professional appearance, and  send RAC (recovery audit contractor) appeal package accordingly
• Pursue updated account statuses on open audits through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
• Gain commitment for payment through concise and factual collection techniques.
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Monitor RAC takebacks and appeal status by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons
• Identify problem claims and trends and escalate as appropriate
• Update the RRT and any other systems (Artiva, SSD Web Tools) to identify actions taken on the account
• Work with RAC Agencies to secure and/or collect payment on account balances outstanding
• 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
• Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short time frames, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

 
EDUCATION
• High school diploma or GED required.
 
EXPERIENCE
• Minimum one year of experience in related area required
• Collections experience required


Parallon

CHECK OUT OUR SIMILAR JOBS

  1. Customer Service Jobs
  2. Collections Jobs