What are the responsibilities and job description for the Collections Specialist I - Managed Medicare AR position at Shared Services Center - Nashville?
Job Summary
Performs collection follow-up on insurance outstanding balances; identification of claim problems and resolution; standards within compliance of government and managed care contract terms.
Essential Functions
- Performs follow-up on outstanding insurance balances within required time frame. Obtains confirmation of payment or required documentation.
- Documents all actions taken on appropriate systems so that is clearly communicated process for resolution.
- Makes appropriate number of calls based on assigned payer.
- Handles and resolves incoming correspondence within 5 days of receipt and updates system
- Effectively analyze assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance and credit reports to collect accounts in full.
- Handle all inbound and outbound calls with courtesy and professionalism.
- Understanding and appropriate use of all account dispositions and self-pay policies and procedures.
- Abide by all local, state and federal laws including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP & HIPAA
- Reviews related materials and attends in-services, as directed, to maintain current knowledge of applicable regulations, policies and procedures. Remains up-to-date on departmental policies and/or developments impacting area of responsibility.
- Displays competency in health care billing requirement/follow up. Maintains current knowledge regarding assigned/related area by keeping up to date on communication, newsletters and resource information within department.
- Demonstrates proficiency at hospital wide and/or department specific computer software and technology. Displays competency in the use of department equipment, all computer software, fax, telephones and copy machine.
- Performs other duties as assigned.
- Complies with all policies and standards.
Qualifications
- H.S. Diploma or GED required
- Associate Degree preferred
- 0-1 years Strong interpersonal and customer service skills preferred
- 0-1 years To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and E-mail software preferred
Knowledge, Skills and Abilities
- Experience in Microsoft Excel and Word is preferred
