Full Job Description
Collections Specialist
Performs designated collection activities for assigned agencies to ensure receivables are reimbursed in an accurate and timely manner. Works directly with the payer and internal and external customers towards efficient and effective collection results. Works under moderate supervision.
Job Location: * Anywhere in the United States*. This role is eligible for work-from-home status. The majority of current Corridor staff work remotely, from their homes.
Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned.
- Ensures the coordination of collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including internal/external databases, payer portals/websites, and telephone.
- Determines and initiates appropriate action to resolve denied/rejected invoices and prepares payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes.
- Review EOPs/EOBs/RAs/EOMBs for accuracy of patient responsibility.
- Analyzes and clears payment variances. May prepare adjusted and corrected bills, adjust accounts receivable entries, or prepare refunds in accordance with existing operating procedures.
- Participates in payer webinars and conference calls covering a wide range of topics that enables the RCM team to effectively collect accounts receivable.
- Prepares special handling and/or reconciliation spreadsheets for payers and/or clients.
- Participates in special projects and performs other duties as assigned.
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.
Education/Experience:
High school diploma or general education degree (GED); or two-three years related experience and/or training; or equivalent combination of education and experience. Focus on Collections experience in the healthcare industry, emphasis on home health and hospice a plus.
Computer Skills:
Microsoft Office Applications – intermediate skill required.
The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
Corridor provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Corridor complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Job Type: Full-time
