Sr. Collector

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission : the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.

PRIMARY PURPOSE

Reviews claims to resolve outstanding balances and secure accurate and timely payments from third party payors.

MINIMUM SPECIFICATIONS

Education

• Must have a High School diploma or GED.

Experience

Equivalent Education and / or Experience

Certification / Registration / Licensure

Skills or Special Abilities

Responsibilities

1. Contacts payors to follow-up on outstanding claims for assigned accounts to verify reason for non-payment and corrects account, re-bills claim, and / or performs adjustments.

2. Responds to routine denials from payors such as inability to identify the patient, coordination of benefits, non-covered services, past filing deadlines to ensure information is transmitted that is required to process payments. Performs required actions in order to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, and posting account adjustments.

3. Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others.

4. Performs routine audits of individual accounts to resolve all discrepancies in account balances.

5. Informs the Supervisor of any problems or changes in payor requirements and exercises independent judgment to analyze and report repetitive denials so that corrective actions can be taken.

6. Tracks productivity and provides cumulative reports on a daily, weekly or monthly basis, as required by supervisor and / or manager.

7. Maintains a positive working relationship with contacts at all agencies, patients, insurance companies, government entities, clinical personnel, other Parkland staff and management, to promote teamwork, cooperation, and a positive public image for Parkland. Serves as a positive role model for staff and patients and demonstrates strong interpersonal skills. Accepts constructive criticism and integrates suggestions in effective ways

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.