Collector

3 weeks ago

Shreveport, United States Specialists Hospital Shreveport, LLC Full time
Job DescriptionJob 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.

  • Medically Trained Mobile Phlebotomist

    3 weeks ago

    Shreveport, United States ExamOne, a Quest Diagnostics company Part time

    Must provide a Louisiana State Phlebotomy License from the Louisiana State Board of Medical Examiners for this position.Medically Trained Mobile CollectorAs a Mobile Collector, you would be a part-time, on-call, and at-will employee.What does this mean?On-Call and At-Will equal Flexibility! You will choose the days and hours you wish to work and the areas...