[Work From Home] Payment Compliance Collector (REMOTE)
No experience needed! We offer full training for our new Payment Compliance Collector! This role is 100% remote, giving you full control over your work environment. This position requires a strong and diverse skillset in relevant areas to drive success. We believe in rewarding talent. The total rewards package for this role includes a competitive salary.
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Job DescriptionEssential Duties and Responsibilities include the following...
 Manage underpayment /overpayments account follow-up and internal escalation
 Reconcile account balances and adjustment to assure accurate status
 Resolve underpayments through daily communication with payors
 Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage
 Evaluate trends and works towards resolution and improvement of revenue cycle processes
 Interpret contract reimbursement and provide feedback to the department
 Work with financial and clinical departments collaboratively
 Review contract validation, updates and interpretation
 Resolve underpaid/overpaid claims in an effective and timely fashion
 Ensure account analysis is validated prior to distribution
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 Highly organized
 Initiative to work independently
 Proficient with telephone and email communications
 Excellent interpersonal skills required to communicate with direct staff and internal/external customers
 Ability to prioritize and work on multiple projects/initiatives at a time
 Must possess excellent time management and organizational skills and possess the ability to work independently
Education/Experience/Skills
 High School graduate or equivalent
 Minimum of 1 (one) year of hospital revenue cycle experience, relevant education may substitute experience requirement
 Maintain applicable continuing education requirements
 Knowledge of CPT, HCPCS, DRG, reimbursement methodologies, and revenue codes
 Billing/Collections experience on UB 04 claims
 Experience with ICD 10
Reasoning Ability
The collector must have the ability to define problems collects data, establish facts, and draw valid conclusions. The collector must have the ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills
To perform this job successfully, an individual should have:
 Required PC competencies including intermediate Microsoft Office skills
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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