HCA, Hospital Corporation of America Insurance Collections Specialist - EO in St Louis, Missouri
Headquartered in Nashville, Tenn., Parallon is a leading provider of healthcare business and operational services. Parallon partners with hospitals and healthcare systems to improve their business performance through best practices in a broad portfolio of revenue cycle services. Parallon is committed to bringing a deep and evolving knowledge, a long track record of operational excellence and a full suite of capabilities to all of its partnerships in order to help clients thrive in the communities they serve.
Collection Specialist-Insurance Follow-up
Working knowledge of all aspects of insurance claim filing, requirements and regulations.
Research account specifics to complete necessary follow-up actions related to medical collections
Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary in an attempt to resolve claims.
Analyze inventory to determine best next action to quickly resolve the accounts.
Ensure adjustments are posted timely and correctly for denied claims that need to be written off.
Post adjustment/write-offs if applicable.
Track and follow up on requests for refunds or recoupments in accordance with payer requirements.
Effectively Resolve Credit Balances according to regulatory and workflow requirements.
Follow-up on accounts by contacting third-party payers via telephone/mail or electronic means for payment status, according to schedule of disposition to be worked on given days.
Research, identify and rectify any special circumstances affecting resolution of customer account.
Update account in system with any action taken or additional information attained when verifying benefits.
Escalate issues to Team Lead or Unit Manager as necessary.
Strict adherence to HIPAA, HiTech and all state and federal regulations relating to account collections and patient privacy.
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" .
Adheres to and supports organizational IT&S standards, policies, and procedures.
Adheres to Code of Conduct.
Performs other duties as assigned.
KNOWLEDGE, SKILLS & ABILITIES
Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.
Knowledge of collections helpful. Capable of meeting production goals. Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems.
Ability to remain flexible as this position may be working multiple clients at one time.
Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately .
Customer orientation .
Interpersonal skills - able to work effectively with other employees, patients and external parties .
Communication and problem solving skills and the ability to act/decide accordingly.
Ability to resolve accounts, create and research complex or diverse information.
Exceptional customer service and the ability to plan organize and exercise sound judgment.
- High school diploma or equivalent .
Minimum 1 year work experience in customer service, preferably in a medical setting. Prefer experience in Insurance, collections or related area.
Experience with Microsoft Office suite and standard office equipment (copier, fax machine) a must.
Title: Insurance Collections Specialist - EO
Location: Missouri-St Louis-St Louis Shared Svcs (SLC SS) - RCPS
Requisition ID: 26587-136046