Payment Poster Baptist M&S Imaging Business Office

Overview

Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims, working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.

• Extensive contact with insurance carriers of all types, as well as communication with patients regarding out of pocket amounts
• Identify accounts that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient
• Perform all practices in a professional and communicative manner, per policies and procedures, guidelines, internal control measures and established goals
• Project a professional demeanor and appearance while maintaining the confidentiality of the surgery center and patients
• Work well in a stressful environment and in situations that demand patience
• Communicate effectively with direct reports, patients, customers, insurance carriers, etc., both independently and as part of a team
• Maintain confidentiality of administration, patients, physicians and employees
• Adhere to professional standards and deliver impeccable service

Shift: Day

Hours:

Monday – Friday 8 a.m. to 5 p.m.

• 2-3 years previous collections experience, with emphasis on healthcare insurance collections of all types; preference for ambulatory surgical setting
• Medical terminology
• Prefer previous experience working with Advantx (Patient Accounting System)
• Ability to work independently
• Excellent communication and interpersonal skills
• Skilled in time management and prioritization of emergent situations
• Good customer service skills with professionalism
• Comfortable utilizing critical thinking skills
• Typing 45-60 WPM
• High School Diploma or equivalency
• Proficient with Microsoft Office products
• Experience with electronic patient information systems
• Prefer previous experience with Electronic Health Record system but will train