Collections Specialist - Patient Financial Services

Summary

Performs all functions related to the timely follow‑up and collection of third‑party patient accounts, in accordance with State and Federal rules and regulations and hospital policy and procedure.

• Reviews reports from insurance companies/government payers for possibility of res mission
• Resubmits, bills patient, or writes‑off as appropriate
• Files appeals on rejected services within filing deadline
• Follows‑up on unpaid third‑party accounts by telephone and/or tracer within time frames and guidelines set forth in hospital policies and procedures
• Prepares rebilling as necessary
• Reviews correspondence received from third‑party carriers, etc., and responds before insurance company deadlines
• Makes request for medical records when necessary
• Reviews payments on accounts for accuracy
• Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility
• Calculates or recalculates contractual allowances and corrects as necessary
• Corrects Managed Care discounts, employee discounts, etc. as necessary after recalculating discount
• Documents all insurance activity in computer system
• Demonstrates competence to perform assigned responsibilities in a manner that meets the population‑specific and developmental needs of members served by the department
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each member served

• High School Diploma

8AM - 5PM Monday‑Friday

Full Time