Payment Compliance Collector (REMOTE)
Job Description
Essential Duties and Responsibilities include the following...
Manage underpayment /overpayments account follow-up and internal escalation
Reconcile account balances and adjustment to assure accurate status
Resolve underpayments through daily communication with payors
Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
Evaluate trends and works towards resolution and improvement of revenue cycle processes
Interpret contract reimbursement and provide feedback to the department
Work with financial and clinical departments collaboratively
Review contract validation, updates and interpretation
Resolve underpaid/overpaid claims in an effective and timely fashion
Ensure account analysis is validated prior to distribution
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Highly organized
Initiative to work independently
Proficient with telephone and email communications
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Ability to prioritize and work on multiple projects/initiatives at a time
Must possess excellent time management and organizational skills and possess the ability to work independently
Education/Experience/Skills
High School graduate or equivalent
Minimum of 1 (one) year of hospital revenue cycle experience, relevant education may substitute experience requirement
Maintain applicable continuing education requirements
Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes
Billing/Collections experience on UB 04 claims
Experience with ICD 10
Reasoning Ability
The collector must have the ability to define problems collects data, establish facts, and draw valid conclusions. The collector must have the ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills
To perform this job successfully, an individual should have:
Required PC competencies including intermediate Microsoft Office skills
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
INDSS
Apply Now
Essential Duties and Responsibilities include the following...
Manage underpayment /overpayments account follow-up and internal escalation
Reconcile account balances and adjustment to assure accurate status
Resolve underpayments through daily communication with payors
Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
Evaluate trends and works towards resolution and improvement of revenue cycle processes
Interpret contract reimbursement and provide feedback to the department
Work with financial and clinical departments collaboratively
Review contract validation, updates and interpretation
Resolve underpaid/overpaid claims in an effective and timely fashion
Ensure account analysis is validated prior to distribution
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Highly organized
Initiative to work independently
Proficient with telephone and email communications
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Ability to prioritize and work on multiple projects/initiatives at a time
Must possess excellent time management and organizational skills and possess the ability to work independently
Education/Experience/Skills
High School graduate or equivalent
Minimum of 1 (one) year of hospital revenue cycle experience, relevant education may substitute experience requirement
Maintain applicable continuing education requirements
Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes
Billing/Collections experience on UB 04 claims
Experience with ICD 10
Reasoning Ability
The collector must have the ability to define problems collects data, establish facts, and draw valid conclusions. The collector must have the ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills
To perform this job successfully, an individual should have:
Required PC competencies including intermediate Microsoft Office skills
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
INDSS
Apply Now