Revenue Cycle Specialist II (Commercial Collections)

About the role

Provides commercial collections support to Patient Financial Services, performing duties such as reviewing and resubmitting claims to third party payors, performing account follow-up activities, and updating information on accounts.

Responsibilities

• Reviews and resubmits claims to third party payors
• Performs account follow-up activities
• Updates information on accounts
• Participates in department meetings and provides feedback to management on how to improve department processes
• Adheres to instructions, verbal and written, to achieve desired results
• Maintains acceptable levels of speed and accuracy
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner
• Takes initiative on issues and/or problems by advancing them to supervisor
• Processes incoming correspondence, based on reason code, timely and accurately
• Safeguards information on the account is complete and accurate
• Ensures compliance with payment timeline protocol and assists other team members with resolution of accounts when needed
• Processes incoming correspondence, based on reason code, timely and accurately
• Maintains acceptable levels of speed and accuracy
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner
• Takes initiative on issues and/or problems by advancing them to supervisor
• Processes incoming correspondence, based on reason code, timely and accurately
• Maintains acceptable levels of speed and accuracy
• Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner
• Takes initiative on issues and/or problems by advancing them to supervisor

Requirements

• High school diploma or GED required
• Four years’ experience with hospital or professional billing and/or collections experience required
• Basic computer and navigation skills
• Experience with MS office, Web/Vs, Emdeon and CS-Link preferred
• Working knowledge and understanding of regulatory and CSHS policies and procedures preferred
• Basic understanding of HIPAA and other privacy information guidelines preferred
• Ability to perform relevant business math (including addition, subtraction, multiplication, and division)
• Good verbal and written communication skills
• Keyboard and data entry proficiency
• Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention
• Prioritizes and organizes work to complete assignments in a timely, accurate manner
• Professional and courteous demeanor