Payment Compliance Collector (REMOTE)
Job Description
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 resolution and improvement of reputed company cycle processes Interpret contract reimbursement and provide 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 timely fashion Ensure account analysis is validated prior to distribution
Qualifications
To reputed company this job successfully, an individual must be able to reputed company each 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 direct staff and internal/external customers Ability to prioritize and work on multiple projects/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 valid conclusions. The collector must have the ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract 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. INDSS Apply Job!