Lead Collections Specialist, RCM Hospital Operations - (St. Louis, MO)
Location: St. Louis, Missouri
Description: Quality Systems, Inc. is at present recruited Lead Collections Specialist, RCM Hospital Operations - (St. Louis, MO) right now, this career will be placed in Missouri. More complete informations about this career opportunity kindly see the descriptions. QSI Inc. /NextGen Healthcare builds software that improves patient care and reduces healthcare! costs. Now we’re bringing the best of the cloud, social media, and mobile to healthcare. Come build the future with us!
Please visit our website at www.nextgen.com
Under general supervision, the Lead Collections Specialist - RCM Hospital Operations performs collection and billing activities for assigned hospital client(s) and insurance accounts. Develops and maintains effective working relationships with payors and/or clients (as deemed necessary by supervision).
Job Description:
Review unpaid accounts to determine status and appropriate action required from work lists generated from RCM the system.
Contact payors, use facility correspondence, via website, phone and/or correspondence, regarding reimbursement for unpaid accounts over thirty (30) days or as assigned.
Receive, review, research and respond to correspondence from insurance companies, attorneys and patients.
Research and follow-up on denials and ! requests for additional information utilizing the denial manag! ement reports and correspondence.
Work with other staff members to enhance the collection process to ensure timely reimbursement on accounts.
Work with the management team in its effort to promote and support the ongoing best practices methodologies for overall division improvement;
Contact patients as needed to collect appropriate information or to collect patient balances. Insures the pre-collect process is completed every thirty (30) days.
Maintain tracking tool(s) to ensure timely response to inquiries.
Identify and verify adjustments that need to be made to accounts. Complete adjustment request forms according to policy and procedure.
Perform approved adjustments and document the action in the RCM system.
Work with management to identify payor trends and non-payment issues.
Interact with off-shore BPO staff to assure successful revenue cycle services delivery.
Prepare reports regarding acc! ount status issues and other requested data.
Recommend accounts for collection agency and/or write off.
Adhere to Clean Claims Act and HIPAA policy and procedures.
Maintain positive working relationships with internal and external customers by providing superior customer service.
Other duties as necessary and/or assigned to maintain department function.
Required Skills:
Work requires a comprehensive understanding of billing and collections for hospitals as acquired during two to three years of billing and collections experience.
Work requires analytical abilities in order to complete tasks assigned, gather and interpret data from different sources and resolve moderately complex problems.
Work requires working knowledge of computers and demonstrated proficiency in using Email systems, Internet and Microsoft Office software applications with emphasis on Microsoft Word and Excel.
Work requires e! xcellent interpersonal skills necessary to handle sensitive and confide! ntial information and to effectively interact with all levels of staff and business-related associates.
Work requires incumbent to be detail-oriented, self-motivated, set priorities and establish and meet deadlines.
Desired Skills:
Previous experience working with hospital RCM software
Required Education (including certifications):
High School education
Desired Education (including certifications):
Bachelor’s degree in Business Administration, Healthcare Administration or related discipline.
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 ou! r recruiting/hiring processes. AA/EOE, M/F/D/V.
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If you were eligible to this career, please deliver us your resume, with salary requirements and a resume to Quality Systems, Inc..
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This career starts available on: Fri, 15 Nov 2013 00:51:52 GMT
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