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Shreveport

    Collector - Shreveport, United States - Specialists Hospital Shreveport, LLC

    Specialists Hospital Shreveport, LLC
    Specialists Hospital Shreveport, LLC Shreveport, United States

    1 week ago

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    Description

    Job Description

    Job DescriptionJob Summary: Under the direction of the Business Office Manager, the Hospital Collections Clerk is responsible for following up directly with commercial and governmental payers to resolve claim issues/denials and secure appropriate and timely reimbursement.

    Essential Job Functions
    • Researches and analyzes denied claims, follows up and formulates resolution
    • Submit appeals and reconsiderations on claim rejections, underpayments and denials
    • Engages the coding follow-up team for any medical necessity or coding related appeals
    • Initiates insurance follow up on aged, unresolved claims to ensure maximum reimbursement
    • Set follow-up activities based on the status of the claim
    • Communicates identified payer trends such as denials for specific procedure or diagnosis codes, or other identified issues
    • Researches and responds to documentation requests from insurance carriers in a timely manner
    • Communicates with patients and necessary parties to resolve issues relating to payment
    • Submits adjustments to account balances identified through payer
    • Documents clear and concise activities performed in system for each account worked
    • All other duties as assigned
    Requirements
    • High School diploma or GED required.
    • Post-Secondary education preferred.
    • Commercial and Medicare collections experience preferred.
    • 3 years collections experience.
    • 1 year of denials management experience.
    • 1 year of medical collections experience.
    • CPSI experience preferred.
    • Microsoft Office knowledge preferred.
    Other Skills/Abilities
    • Requires excellent written and verbal communication skills to communicate effectively with individuals at all levels of the organization.
    • Must be able to work under general supervision.
    • Must have a professional and mature demeanor.
    • Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions and deal effectively with confidential information.
    • Strong telephone etiquette.
    • Computer literacy required.
    • Knowledge of medical terminology.
    • Dependable attendance is essential.
    • Able to prioritize multiple tasks.
    • Strong organizational skills.
    Benefits are available with this position.
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