Collections Specialist I - Community Health Systems
Franklin, TN
About the Job
Job Summary
Other Government Collections Specialist (Veterans Administrataion, Tricare, Hospice, Immigration etc.)
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
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
Other Government Collections Specialist (Veterans Administrataion, Tricare, Hospice, Immigration etc.)
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
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
Source : Community Health Systems