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Collections Specialist - Patient Financial Services HB

Christus Health Alamogordo, NM

Alamogordo, NM

Today

Full time Accounting Billing Billing Operations

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Job Description

The Collections Specialist role supports Patient Financial Services by completing timely follow-up and collection actions for third-party patient accounts in line with applicable state and federal requirements, as well as hospital policies and procedures.

Key Responsibilities

Reviews reports from insurance companies and government payers to determine whether claims may be resubmitted
Resubmits accounts, bills patients, or applies appropriate write-offs as needed
Files appeals for rejected services within established filing deadlines
Performs follow-up on unpaid third-party accounts by telephone and/or tracer in accordance with hospital time frames and guidelines
Prepares rebilling as necessary
Reviews correspondence received from third-party carriers and responds prior to insurance company deadlines
Requests medical records when required
Reviews payments for accuracy and proper application to patient accounts
Contacts insurance carriers when payment is less than quoted benefits to resolve responsibility for the remaining balance
Calculates and recalculates contractual allowances and corrects amounts as necessary
Corrects Managed Care discounts and employee discounts after recalculating discounts
Documents all insurance activity in the applicable computer system
Performs assigned duties in a manner that meets the population-specific and developmental needs of members served by the department
Adapts assessment, treatment, and/or service methods to accommodate each member’s unique physical, psychosocial, cultural, age-specific, and other developmental needs

Required Qualifications

Education: High School Diploma

Work Location

Alamogordo, NM (onsite)

Schedule

8:00 AM - 5:00 PM, Monday-Friday

Employment Type

Full Time

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