Collection Specialist - Houston, United States - Advanced Diagnostics Healthcare System

Advanced Diagnostics Healthcare System

Verified Company

Houston, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

JOB SUMMARY
This position requires a driven individual that can multi-task, problem solve, and manage workload and time effectively.

This involves performing collection activities related to follow-up and account resolution, and includes communication to patients, clients, reimbursement vendors, and other external entities while adhering to all guidelines.

Patient and client satisfaction is essential.

DUTIES AND RESPONSIBILITIES

Possesses thorough understanding of the hospital revenue cycle with specialization in hospital billing, followup, and the account resolution process.
Communicates with patients to help them resolve their healthcare accounts.
Receives and properly handles incoming phone calls by assisting patients with their questions or concerns, arranging payment arrangements, and obtaining insurance information from patients.
Collects and processes payments over phone.
Makes outbound calls in an effort to resolve the patient account.
Document all collections activity performed on each account in the system.
Reviews general accounts receivable incoming correspondence and takes timely and appropriate action.
Analyzes account for errors, adjustment, credits, issuing corrected entries when required. Escalates complex issues. Updates account information.
Manage multiple work queues for followup and denials by engaging payor websites and initiate calls to ensure prompt payment of medical claims. Pursues and/or followup on appeals. Initiate communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted.
Identify denial trends and notify Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.
Maintains positive working relationships and fosters a cooperative work environment. Adheres to the hospital's compliance program.

REQUIREMENTS

High school diploma or GED.
Some College, Associate's Degree or higher preferred.
Minimum two years' medical office experience.
One year of relevant experience in Acute Care setting.
Experience with collections in healthcare revenue space is preferred.
Multi-Specialty insurance experience.
Epic, Athena, or similar software experience highly desired.

EDUCATION

High School Diploma or GED
Some College, Associates, or Bachelor's preferred.

CERTIFICATION, LICENSURE

KNOWLEDGE SKILLS & ABILITIES

Extremely conscientious with excellent organizational skills.
Capable of working independently and as a team member.
Must be very customer service oriented.
Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
Ability to stay focused in a fastpaced environment, manage time efficiently, and able to multitask.