Insurance Biller Collector
US-AZ-PRESCOTT VALLEY
commonspirit_careers
Req #: 407887
Type: Day
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Overview: Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2300 clinics care sites and 137 hospital-based locations in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157000 employees 45000 nurses and 25000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care community benefits and unreimbursed government programs. Together with our patients physicians partners and communities we are creating a more just equitable and innovative healthcare delivery system. Responsibilities: Responsible for the 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. - Other job duties as assigned Qualifications: - 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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