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Specialist-Collections in Spartanburg, SC at Spartanburg Regional Healthcare System

Date Posted: 5/9/2019

Job Snapshot

Job Description

The Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. Duties include-
  • Collections of all outstanding claims by direct payer contact, utilization of payer websites, and through EDI/Claims systems. 
  • Research and Resolve all payments issues/errors for insurance balances. 
  • Responsible to complete all error corrections and insurance updates to the facility/professional claim in order to resolve outstanding denial/issue preventing payment.  
  • Complete claim corrections, coding research requests, as needed to manage outstanding  Responsible for handling all retro-authorizations for multiple payers. 
  • Must possess the ability to work in different systems including claims eligibility, online payer claims system, case management as well as all AR management systems. 
  • Work payer denials and perform all necessary rework for reimbursement of denied services. 
  • Work closely with multiple departments to obtain necessary information to resolve outstanding AR.   
  • Update and verify insurance records as needed to correct outstanding accounts.
  • Must have working knowledge of registration, payment posting, error correction and other billing functions.
  • Manage time and  job responsibilities in order to meet monthly goals
  • Exhibit professionalism and good customer service skills.  Other duties as assigned.

Education Requirements
High School Diploma or equivalency

Experience Requirements
  • Three years medical office or medical billing/collections experience in a hospital or centralized billing setting.
  • Must possess knowledge of CPT, HCPCS, and ICD-9/10 codes.
  • Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
  • Be familiar with multiple payer requirements of claims processing.
  • Solid skills with Microsoft Office with a focus on Excel and Word.
  • Good communication skills.