Collections Specialist

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.

PI220179918

Collections Specialist

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