Collections Specialist

June 12, 2023June 12, 2023 | | 0 Comment | 12:30 am

Description:

 

The Collections Specialist will assist with assigned tasks as they relate to revenue cycle management including the review of unpaid bills and pursing payments.

 

Essential Duties and Responsibilities:

  • Submits Second Bill Reviews and Appeals and collects on past due bills.
  • Responsible for obtaining payment status’ and Explanation of Review records, and posting payments as necessary.
  • Maintains a record of PPO discount names and rates.
  • Communicates effectively with claims administrators and adjusters to better understand how to collect on denied bills and underpayments.
  • Maintains positive working relationships with claims administrators, adjusters, clients and other key stakeholders.
  • Coordinates the completion of outstanding reports and other documentation within the medical record as necessary for collections. Submits necessary documentation for payment of claims.
  • Verifies completeness and accuracy of medical records and charges prior to submitting a Second Bill Review or Appeal.
  • Reviews documentation and performs audits to determine billing accuracy and gaps.
  • Responsible for documenting all correspondences and phone conversations regarding medical claims and other bills.
  • Collaborates with other departments to obtain and analyze additional information about patients to be able to record and process billing accurately.
  • Works various assigned tasks in Daisy Bill.
  • Complies with applicable HIPAA policies and procedures.
  • Assists with assigned projects that pertain to billing under the direction of the Billing and Collections Manager.

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