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Company

Community Health Systems · 7 hours ago

Payment Compliance Collector (REMOTE)

Franklin, TN

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

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, revenue opportunities and revenue leakage

Evaluate trends and works towards resolution and improvement of revenue 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

Qualification

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Hospital revenue cycle experienceCPTHCPCSDRGReimbursement methodologiesBilling/Collections experienceICD 10Highly organizedInitiative to work independentlyProficient with telephone communicationProficient with email communicationMicrosoft Office skillsTime management skills

Required

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

High School graduate or equivalent

Minimum of 1 (one) year of hospital revenue cycle experience, relevant education may substitute experience requirement

Maintain applicable continuing education requirements

Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes

Billing/Collections experience on UB 04 claims

Experience with ICD 10

The ability to define problems, collect data, establish facts, and draw valid conclusions

The ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables

Required PC competencies including intermediate Microsoft Office skills