Collections Specialist - Steward Health Care
Houston, TX 77002
About the Job
Location: St. Joseph Medical Center
Posted Date: 9/23/2024
Job Type: Full Time
Department: 4119.71800 Communications
Under the supervision of the Director of Revenue Cycle or designee, performs patient account follow-up, credit balance review and resolution, keeping the hospitals accounts receivable as accurate as possible.
Duties and Responsibilities:
- Insurance follow-up, as assigned
- Contact insurance carriers regarding outstanding balances until resolution
- Resubmit claims with the appropriate remarks and/or attachments as needed
- File insurance reconsideration letter for payment and/or denial disputes
- Validate accounts for accurate payments, discounts, and contractual adjustments
- Reply to insurance carrier correspondence as appropriate
- Run insurance eligibility and correct claim before resubmission as needed
- Pull supporting documents for annual regulatory audits, as needed
- Ensure credit balance and refund requests are reviewed and resolved timely
- Answer in-coming calls resolving patient and/or insurance issues timely
- Assist with other duties as assigned, within skill sets and abilities
Education
- High School graduate or equivalent
Experience
- Minimum 1-year Commercial, HMO, PPO, and Workers Compensation billing and/or
- Insurance follow-up experience
- Working knowledge of HMO, PPO, Commercial, and Workers Compensation reimbursement
- Working knowledge of Managed Care contract language and interpretation
Source : Steward Health Care