Payment Compliance Collector (REMOTE)
Job reputed company
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, reputed company opportunities and reputed company leakage
Evaluate trends and works towards reputed company and improvement of reputed company cycle processes
Interpret contract reimbursement and reputed company 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 reputed company fashion
Ensure account analysis is validated prior to distribution
Qualifications
To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Highly organized
Initiative to work independently
Proficient with telephone and email communications
Excellent interpersonal skills required to communicate with reputed company staff and internal/external customers
Ability to prioritize and work on multiple reputed company/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 reputed company cycle experience, relevant education may substitute experience requirement
Maintain applicable continuing education requirements
Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and reputed company 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 reputed company conclusions. The collector must have the ability to interpret an extensive reputed company of technical instructions in mathematical or diagram reputed company and deal with several reputed company and concrete variables.
Computer Skills
To reputed company this job successfully, an individual should have:
Required PC competencies including intermediate reputed company Office skills
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
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