#COLLE31593

Collections Specialist

2021-02-23
  • Organization

  • Shared Services Center - Tucson Shared Services Center - Tucson

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  • Full Time

Job Description

Performs collection follow-up on insurance outstanding balances; identification of claim problems and resolution; standards within compliance of government and managed care contract terms.

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POSITION PURPOSE

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 JOB 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
  • Initiates appropriate review and supporting documentation for denials within payer specific guidelines.
  • Professionally handles all incoming calls from customers including returning the calls and expediting requests in a timely manner.
  • 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.
  • Accepts responsibility, maintains confidentiality and performs routine assignments independently.
  • Must be a team player and able to work with a very dynamic team and a lot of change.
  • Conforms to department dress code policy and wears ID badge.  Adheres to scheduled work hours, attendance/tardiness policy. 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.



EDUCATION, SKILLS & EXPERIENCE:

 

  • Education:

High School graduate or equivalent

  • Experience:

Specialist I: 

  • Must have six (6) months experience in a hospital or medical facility setting, OR have taken a minimum of one college or certificate program course that would provide basic understanding of billing and coding. 
  • Medicare knowledge is a plus

 

  • Administrative Skills:
  • Excellent interpersonal skills required to communicate with direct staff and internal/external customers.
  • Must possess excellent time management and organizational skills. 
  • Demonstrated critical thinking, creativity, problem solving and decision-making skills.



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