Community Health Systems · 4 days ago
Collections Specialist I - Blue Cross (REMOTE)
Franklin, TN
Full-time
Remote
Entry Level
1+ years exp
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Responsibilities
Ensure accurate and complete account follow-up.
Resolve claim processing issues in a timely manner, evaluating problem claims to the appropriate managerial personnel with the insurance carrier’s organization to quickly resolve delinquent claims or contacting patient or third party payers in compliance with established policies and procedures.
Review assigned claims working within the established productivity standards, for timely follow-up maintaining and updating all patient accounts to reflect current information.
Assess each account for balance accuracy, payer plan and financial class accuracy, billing accuracy, denials, insurance requests, making any necessary adjustments, documenting appropriately and submits corrections or request for processing in a timely manner.
Resolve claim processing issues on a timely basis by reviewing claim inventories, payments and adjustments and taking appropriate actions to ensure proper discounts and allowances have been completes as well as identifies account for secondary billing and processes of refers to appropriate personnel.
Document all activity taken on an account in the patient account notes.
Work any assigned correspondence related to assigned accounts.
Perform other required duties in a timely, professional, and accurate manner.
Qualification
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Required
High School Graduate or GED equivalent
1 Year Medical collections experience
Minimum 1 year experience in a hospital business office department
Must be able to communicate effectively and professionally with strong attention to details and problem solving both verbally and written
Strong telephone communications skills are required
Carrier-specific reimbursement as applicable to claim processing to include benefits and coverage according to specific carrier
UB 04 claims form preparation
1500 claims form preparation
Ability to prioritize work and meet deadlines is required
Knowledge of general office procedures is required
Ability to operate common computer systems, utilize hospital collection system and business software is required
Intermediate knowledge of Microsoft Office Tools (Outlook, Excel, Word and PowerPoint) Required
Proficiency in hospital patient accounting and billing systems Required
Preferred
Artiva
HMS
Company
Community Health Systems
Community Health Systems is one of the nation’s leading healthcare providers.
10,001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$1.88B2024-05-21Post Ipo Debt· $1.12B
2023-12-11Post Ipo Debt· $750M
2000-06-09IPO· undefined
Leadership Team
Tim L. Hingtgen
Chief Executive Officer
Hunter Phillips
Director Strategic Consumer Engagement
Recent News
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