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Senior Collections Analyst in Orange Park at Parallon

Date Posted: 2/22/2019

Job Snapshot

Job Description

Job Summary – The Senior Collections Analyst is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and escalating as appropriate.

Duties (included but not limited to):
• Resolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare, Auto and Workers’ Compensation
• Effectively utilize ERA payment information to identify trends and make recommendations
• Be able to utilize various data sources to drive decisions
• Identify contract protection that can be leveraged when disputing delays in payment
• Work with vendors and other organizations when needed to resolve open accounts receivable
• Articulate any payment delays to representatives from healthcare payer companies and government agencies.
• Contact payer companies via phone or correspondence and initiates request for payment.
• Escalate Payer lack of response and/or lack of payment within Payer organization as appropriate.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective argument.
• Identify problem accounts/processes/trends and escalate as appropriate.
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Identifies Payer trends and communicates trends to supervisor for further action/escalation.
• Practices and adheres 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.
• Persistence – comfortable pursuing, rebutting and escalating issues as appropriate.
• Goal-oriented – holds him/herself accountable to achieving shared and personal goals.
• 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 high proficiency in Microsoft Office applications and others as required.
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems.
• Mathematical skills - able to perform advanced mathematical calculations and balance and reconcile figures
• Writing skills –advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately.

• Bachelor’s degree required.
• Master’s degree preferred.

• Two years of related experience. 
Certificate/ License - N/A