Insurance Claims Specialist

6 days ago

Prescott Valley, Arizona, United States Unavailable Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Biller Collector to join our team at CommonSpirit Health. As a key member of our revenue cycle team, you will be responsible for ensuring timely follow-up on accounts and resolving denials and/or correspondence.

Key Responsibilities

• Responsible for timely follow-up on accounts and resolves denials and/or correspondence
• Assists in process improvements to bring about greater claim resolution
• Has frequent contact with team members, third party payers and other medical center personnel
• Appropriately works the accounts receivable and denials using the collection tool and policies and procedures to achieve department and hospital goals
• Posts adjustments for appropriate account reconciliation and resolution
• Rebills accounts and posts payments as required
• Understands contracts and payer specific guidelines in order to ensure timely follow-up to avoid untimely denials and delays in cash flow
• Maintains and facilitates communication within the business and clinical divisions
• Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries
• Participates in collector meetings, performance improvement activities and committees as assigned
• Utilizes issues log when necessary
• Meets productivity standards for working outstanding accounts and denials in an effort to achieve claim resolution

Requirements

• High School graduate or GED
• One year of clerical experience in an office setting; hospital or clinic collection experience preferred
• Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs
• Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
• Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
• Ability to maintain acute attention to detail
• Basic computer literacy and proficiency in Microsoft Windows
• Basic proficiency with MS Office (Outlook, Word, Excel)
• Experience with insurance billing computer applications preferred

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