Collections Specialist - Alamogordo Admin Office 500 10th Street

Summary:

Review and resolve outstanding A/R accounts to ensure activities regarding patient accounts are reviewed and resolved in a timely and thorough manner, ultimately resulting in full payment on the account. This description is not intended to be a complete list of duties.

Responsibilities:

• Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area

• Maintains required core competencies.

• Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)

• Reviews payer EOB's but not limited to payment accuracy, patient liability, and appeal grievances.

• Work 60 accounts daily

• Files appeal on denied claims and/or forwards to the Nurse Auditor for review

• Process incoming mail correspondence from payers within 5 business days.

• Follow up with the insurance companies by phone and or web for the status of outstanding claims.

• Follow up with all insurance companies within 30 days of billing if there is no payment on the account.

• Enter detailed notes explaining account activity in the Patient Accounts system

• Respond to patient inquiries regarding the status of the patient's insurance within 2 business days.

• Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway.

• Accept payments over the phone.

• Research late charges to determine the cause; inform your supervisor if they are a regular occurrence.

• Report payer trends to Supervisor and Director of Patient Financial Services Maintain courtesy and respect at all times when working with internal and external customers

• Performs other duties as assigned

Requirements:

Education

• High School diploma or equivalent.

Experience

• Prefer two (2) years of hospital or physician practice billing and/or collections experience.
• Able to work with volume accounts for resolution.
• Working knowledge of computers and calculators desired.
• Possess the ability to work with internal and external customers

Licenses, Certifications or Registrations

• Current American Heart - Basic Life Support (BLS)card.

Work Schedule:

Varies

Work Type:

Full Time