Collections Specialist (St. Louis, MO)
Location: St. Louis, Missouri
Description: Quality Systems, Inc. is employing Collections Specialist (St. Louis, MO) right now, this job will be assigned in Missouri. For detail informations about this job opportunity kindly see the descriptions. QSI/NextGen Healthcare builds software that improves patient care and reduced healthcare costs. Now we’re bringing the best of the cloud, social media and mobile to healthcar! e. Come build the future with us!
Please visit our website at: www.nextgen.com
Under general supervision, the Collections Specialist performs collection activities for assigned patient and insurance accounts, and develops and maintains effective working relationships with payers and/or clients (as deemed necessary by the supervisor).
Job Description:
Reviews unpaid accounts to determine status and appropriate action required from work lists generated from practice management system.
Contacts payers, use facility correspondence, via website, phone and/or correspondence, regarding reimbursement for unpaid accounts over thirty (30) days or as assigned.
Receives, reviews, researches and responds to correspondence from insurance companies, attorneys and patients.
Researches and follows-up on denials and requests for additional information utilizing the denial management reports and correspondence.
W! orks with other Billing Operations staff to enhance the collec! tion process to ensure timely reimbursement on accounts.
Uses resolution codes for any activity in the Practice Management Software.
Contacts patients as needed to collect appropriate information or to collect patient balances. Insures the pre-collect process is completed every thirty (30) days.
Maintains tracking tool(s) to ensure timely response to inquiries.
Identifies and verifies adjustments that need to be made to accounts. Completes adjustment request forms according to policy and procedure. Performs approved adjustments and documents notes and denial codes for all transactions.
Works with management to identify payer trends and non-payment issues
Performs responsibilities to ensure that all predetermined quotas for number of accounts worked is achieved and maintained on an on-going basis.
Prepares reports regarding account status issues and other requested data.
Recommends accounts for collectio! n agency and/or write off.
Adheres to Clean Claims Act and HIPAA policy and procedures.
Maintains positive working relationships with internal and external customers by providing superior customer service. Responsible for assisting the billing team with data entry, other duties and other types of projects to assist in the overall collections on accounts.
Other duties as necessary and/or assigned to maintain department function.
Required Skills:
Ability to read, write, and perform basic mathematics at a level generally acquired through a high school diploma or GED equivalent.
Medical collecting and standard office practices and procedures experience as generally acquired with one or more years of billing/collection experience preferably within a health care or insurance environment
Working knowledge of computers and demonstrated proficiency in using Email systems, Internet and Microsoft Office software applicat! ions, with emphasis on Microsoft Word and Excel.
Demonstrated ! ability to effectively communicate (oral and written) with patients, clients and staff.
Good interpersonal skills deal effectively and courteously with business-related associates and staff members
Must be self-motivated, organized and detailed-oriented and work well as a team player.
Desired Skills:
Knowledge of healthcare carriers and payer requirements.
Previous experience working with practice management software
Required Education (including certifications):
High School diploma or above.
QSI Inc. /NextGen Healthcare is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability or veteran status. Females and minorities are encouraged to apply.
Because QSI, Inc./NextGen believes in providing a safe work environment, we conduct drug and background checks in our r! ecruiting/hiring processes. AA/EOE, M/F/D/V.
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This job will be opened on: Thu, 01 Aug 2013 07:15:02 GMT
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