DESCRIPTION OF POSITION

Duties include accurate and timely follow-up on insurance and / or self pay accounts in a fast paced goal oriented collections department.

The Collections Specialist adheres to government and third party payor guidelines when resubmitting claims, improves revenue cycle capture accuracy as a result of analyzing applicable Morris Hospital contracts and reconciling to payments received, resolving denials, and appealing claims.

Responsibilities also include establishing payment arrangements on self pay accounts, referring delinquent accounts to a collection agency, and maintaining third party follow-up.

This position is responsible for identifying and reporting inefficiencies and opportunities that enhance the revenue flow.

They are responsible for monitoring and maintaining assigned accounts, account adjustments, small balance write off, customer reconciliations, accountable for reducing delinquency for assigned accounts, perform other assigned tasks and duties necessary to support the Patient Financial Services Department.

QUALIFICATIONS

• Professional / Educational High School diploma or equivalent required. Typing, computer entry and other clerical skills and experience required.
• Personal Knowledge of medical terminology. Strong communication skills. Knowledge of overall patient access / financial services process.

Strong working knowledge of Medicare, Medicaid, Blue Cross and commercial insurance billing is required.

Last updated : 2024-08-23