Collector
Location
Shreveport, LA
Type
Full Time
- 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
- 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.
- 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.
Specialists Hospital Shreveport provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Specialists Hospital Shreveport, LLC
Specialists Hospital is proudly physician owned and is actively in involved in the Physician Owned Hospitals of America (http://www.physicianhospitals.org/) and the Louisiana Physician Owned Hospital Association (http://www.lhaonline.org/) . Specialists Hospital Shreveport located in Shreveport, Louisiana offers you state of the art treatment in orthopedic and spine surgery- all in a unique, patient-centered environment that is close to home. Whether you are undergoing an outpatient or inpatient procedure, the physicians and staff at Specialists are committed to providing you compassionate and expert care while allowing for a seamless transition from hospital to home. Specialists Hospital Shreveport is the only hospital in Louisiana that focuses solely on orthopedic, spine and spinal neurosurgery.
Company Website: www.specialistshospitalshreveport.com
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