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Collections Specialist

Dt Staffing Llc Port Saint Lucie ,FL
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

POSITION SUMMARY

The Accounts Receivable Collections Specialist is responsible for timely and accurate follow-up of health
insurance claims with various insurance companies. This will include researching authorizations,
working with the facilities and/or providers, managing denied claims in a timely manner, resubmitting
claims when necessary, review and appeal of denials or pending payer retractions, working assigned
accounts based on department policies and procedures. The position will also have responsibility to
backing up the EDI/Claims Specialist and Charge Capture Coordinator when needed for absences or
special projects.

PRIMARY RESPONSIBILITIES

 Daily follow-up of assigned A/R accounts assigned by facility/payer as outlines in work list.
 Work all denials immediately base on assigned accounts to ensure timely response and to avoid
timely filing issues
 Work collaboratively with peers to cover workloads, time off requests and special projects
 Work cross-functionally with EDI/claims, charge coordinator, cash applications specialist and
patient advocate.    
 Communicate all issues or potential issues to leadership
 Meet KPI standards and follow all SOPs/Policies and procedures related to position and Revenue
Cycle Management compliance and payer standards.
 Perform other office duties as assigned by manager.

POSITION REQUIREMENTS

EDUCATION/EXPERIENCE:
 High School Diploma or GED
 Minimum of three years’ experience in Accounts Receivable collections or related functions
 Proficient knowledge in reading and understanding insurance EOBs
 Strong knowledge of payer rules, coordination
 of benefits, collections and appeals process of claims

KNOWLEDGE/COMPETENCIES SKILLS:
 Proficient knowledge of ICD-10 and CPT-4 codes/
 Comprehension of medical terminology
 Familiarity with NCCI, federal and commercial insurance guidelines and policies preferred
 Excellent written, verbal, and interpersonal communication skills.
 Proficiency with Microsoft excel and word
 Accurate and efficient data entry skills
 Strong attention to detail
 Proficient computer software and database skills.
 Strong analytical skills.
 Ability to multi-task and work in a fast paced, high volume environment.

PHYSICAL DEMANDS:
 Regularly required to sit 4-7 hours/day and stand 1-3 hours/day.
 Intermittently required to stoop, bend, speak and listen.

Dt Staffing Llc

Why Work Here?

Excellent potential for career advancement and personal growth!

Address

Port Saint Lucie
Port Saint Lucie, FL
USA