What are the responsibilities and job description for the Collection Specialist position at HSA - Hialeah Hospital?
Job Objective:
Under the supervision of the Vice President of Revenue Cycle or designee, performs patient account follow-up, credit balance review and resolution, keeping the hospital’s accounts receivable as accurate as possible.
Duties and Responsibilities:
- Insurance follow-up, as assigned.
- Contact insurance carriers regarding outstanding balances until resolution.
- Resubmit claims with the appropriate remarks and/or attachments as needed.
- File insurance reconsideration letter for payment and/or denial disputes.
- Validate accounts for accurate payments, discounts, and contractual adjustments.
- Reply to insurance carrier correspondence as appropriate.
- Run insurance eligibility and correct claim before resubmission as needed.
- Pull supporting documents for annual regulatory audits, as needed.
- Ensure credit balance and refund requests are reviewed and resolved timely.
- Answer in-coming calls resolving patient and/or insurance issues timely.
- Assist with other duties as assigned, within skill sets and abilities.
Education
High School graduate or equivalent
Experience
Minimum 1-year Commercial, HMO, PPO, and Workers Compensation billing and/or
Insurance follow-up experience.
Working knowledge of HMO, PPO, Commercial, and Workers’ Compensation reimbursement.
Working knowledge of Managed Care contract language and interpretation.
Location:
This position sits in our satellite office in located in Westchester/Miami, FL
To apply, please visit www.HialeahHosp.org and click on the Career's section.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person