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

• 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.

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



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