Collections Specialist

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $15 - $19 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

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👻 Ghost score 0%

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Franciscan Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1875

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.

📋 Description

• Ensure accurate, compliant, and timely follow-up on claims submitted to third-party carriers/intermediaries • Answer inquiries in a timely manner according to hospital policies • Ensure follow-up of claims and adhere to contractually binding conditions • Review denials and payment discrepancies identified on EOB, RA, or payer correspondence • Identify denial trends, provide documentation and data, and suggest process improvements • Review system work-list and report daily to resolve accounts unpaid within 30 days of claim submission • Document activity accurately and timely on patient accounts • Maintain follow-up procedures and working relationships with HIM and/or Patient Access • Verify newly received status information and update patient accounts • Report suspicious activities to the appropriate person • Work with the department on process improvements to create efficiencies and achieve overall goals

🎯 Requirements

• Required High School Diploma/GED • 2 years Patient Accounting, specifically billing, collections, customer service, or cash application Preferred • 1 year working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated knowledge of Revenue Cycle procedures Preferred • Compliance with all state and federal billing regulations • Travel is required: Never or Rarely

🏖️ Benefits

• Benefit eligible • Growth opportunities • Comprehensive benefit offerings for eligible employees • Work from home opportunity