Demo

Hospital Collections Specialist

eMDs
Austin, TX Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/4/2025

Summary of Job

The role of a Collection Specialist in the Revenue Cycle Management department is to follow up on any unpaid insurance claims.

Essential Duties and Responsibilities

  • Working of aged accounts
  • Complex denial research
  • Participate in client meetings
  • Answer patient, client, or insurance carrier questions regarding claims
  • Maintain the strictest confidentiality in accordance with all HIPAA guidelines / regulations
  • Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies

Skills & Requirements

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required including computer skills / level.

  • Working knowledge of healthcare code sets
  • Working knowledge of clean claim practices
  • Working knowledge of the adjudication process
  • Ability to research and follow claims appeal guidelines / processes
  • Understanding of the complete healthcare revenue cycle
  • Understanding of provider contracts and credentialing
  • Understanding of basic accounting functions
  • Proficient in Microsoft Outlook, Word, Excel
  • Organized and detail-oriented
  • Education and / or Experience

    Previous experience in a healthcare billing capacity required. Previous experience with hospital based follow-up desired. Previous experience with electronic health records / practice management system desired.

    Language Skills

    Employees are required to speak, read and write English

    Certificates / Licenses / Registrations

    None required, coding certificates desirable (CPC, CCS-P, CCS, etc.)

    Physical Demands / Work Environment

    All employees must be able to lift 50lbs

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