Collections Specialist - Financial Services

CHRISTUS Health; Alamogordo (NM); On-site; USD 40,000 - 52,000; Full time

Job summary

CHRISTUS Health in Alamogordo, NM seeks a Full Time employee to manage the timely follow-up and collection of third party patient accounts in accordance with state and federal regulations and hospital policy.

Responsibilities include reviewing payer reports for resubmission, resubmitting or billing patients, filing appeals, following up on unpaid accounts, and ensuring accurate documentation in the system. A High School Diploma is required.

Qualifications

• Must have working knowledge of medical billing and third-party payers.

Responsibilities

• Review reports from insurance payers for resubmission potential.
• Resubmit, bill patients, or write-off as appropriate.
• File appeals on rejected services within deadlines.
• Follow up on unpaid accounts by phone or tracer per policies.
• Prepare rebilling as needed.
• Respond to carrier correspondence before deadlines.
• Request medical records when necessary.
• Review payments for accuracy and resolve discrepancies.

Skills

Billing

Accounts receivable

Insurance follow-up

Phone follow-up

Documentation

Education

High School Diploma

Job description

Summary:

Performs all functions related to the timely follow-up and collection of third party patient accounts, in accordance with State and Federal rules and regulations and hospital policy and procedure.

Responsibilities:

• Reviews reports from insurance companies/government payers for possibility of resubmission
• Resubmits, bills patient, or writes-off as appropriate
• Files appeals on rejected services within filing deadline
• Follows-up on unpaid third party accounts by telephone and/or tracer within time frames and guidelines set forth in hospital policies and procedures
• Prepares rebilling as necessary
• Reviews correspondence received from third party carriers, etc and responds before insurance company deadlines
• Makes request for medical records when necessary
• Reviews payments on accounts for accuracy
• Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility
• Calculates or recalculates contractual allowances and corrects as necessary
• Corrects Managed Care discounts, employee discounts, etc. as necessary after recalculating discount
• Documents all insurance activity in computer system
• Demonstrates competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of members served by the department
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each member served

Requirements:

• High School Diploma

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time