- Working of aged accounts
- Complex denial research
- Participate in client meetings
- Answer patient, client, or insurance carrier questions regarding claims
- Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations
- Stay abreast of code changes, updates to reimbursement guidelines, and coverage policies
- Working knowledge of healthcare code sets
- Working knowledge of clean claim practices
- Working knowledge of the adjudication process
- Ability to research and follow claims appeal guidelines/processes
- Understanding of the complete healthcare revenue cycle
- Understanding of provider contracts and credentialing
- Understanding of basic accounting functions
- Proficient in Microsoft Outlook, Word, Excel
- Organized and detail-oriented
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Hospital Collections Specialist - Austin, United States - eMDs
Description
Summary of Job
The role of a Collection Specialist in the Revenue Cycle Management department is to follow up on any unpaid insurance claims.
Essential Duties and Responsibilities
Skills & Requirements
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required including computer skills/level.
Education and/or Experience
Previous experience in a healthcare billing capacity required. Previous experience with hospital based follow-up desired. Previous experience with electronic health records/practice management system desired.
Language Skills
Employees are required to speak, read and write English
Certificates / Licenses / Registrations
None required, coding certificates desirable (CPC, CCS-P, CCS, etc.)
Physical Demands / Work Environment
All employees must be able to lift 50lbs
