Collections Specialist
Company: Beaumont Health
Location: Southfield
Posted on: January 27, 2023
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Job Description:
GENERAL SUMMARY:Performs account follow up and resolution of
Insurance claims. Contact insurance payors on aged and or delayed
claims for resolution. Ability to research accounts to complete
appropriate follow up actions that result in an account payment and
resolution. Monitor insurance claims for payment to resolve if not
paid in a timely manner. Identify problem accounts and escalate as
appropriate. Requires critical thinking skills, problem solving,
decisive judgment, ability to work with minimal supervision and
must possess excellent time management and organizational skills.
Must be able to work in a stressful environment and take
appropriate action.ESSENTIAL DUTIES:1. Performs account follow up
and resolution of Insurance claims. Contact insurance payors via
telephone on aged and or delayed claims for resolution.2. Ability
to research accounts to complete appropriate follow up actions that
result in an account payment and resolution. Working knowledge of
all facets of insurance claim filing, requirements and
regulations.3. Monitor insurance claims for payment to resolve if
not paid in a timely manner.4. Identify problem accounts and
escalate as appropriate. Update patient accounts records to reflect
action taken. Work with insurance and patients to secure timely
payment on outstanding account balances.5. Maintain a professional
image and provide excellent customer service.6. Attend department
meetings and education sessions. Meet/exceed performance
expectations within required timeframes.7. Practice and adhere to
the "Code of Conduct" philosophy and Mission and Values
statement.8. Supports special projects as requested. Adheres to all
Beaumont Health Business Service Policies and Procedures.9. Payer
training for new hires on Epic, Workqueue's, payer process,
websites and procedures.10. Performs other duties as assigned.This
document represents the major duties, responsibilities, and
authorities of this job, and is not intended to be a complete list
of all tasks and functions. It should be understood, therefore,
that incumbents may be asked to perform job-related duties beyond
those explicitly described.STANDARD REQUIREMENTS:1. Supports the
Mission, Value and Vision of Beaumont Health (BH). Demonstrates
personal commitment through active involvement in the performance
improvement process.2. Exhibits excellent customer service skills
and behaviors toward internal and external customers and
co-workers. Promotes positive public relations with
patients/residents, family members, guests, and others.3. Supports
and adheres to all Beaumont Health's customer service, service
excellence, and performance standards. Supports and participates
with all required compliance standards that may be department
specific and/or identified by the organizations including
in-service training, acceptable attendance, uniform and dress
code.4. Adheres to HIPAA requirements and maintains confidentiality
of all data, including patient/resident, employee and operations
information.5. Supports and participates in a collaborative
team-oriented environment - cooperates and works together with all
co-workers, plans and completes job duties, uses appropriate
communications in sensitive and emotional situations and follows up
as appropriate regarding reported complaints, problems and
concerns.6. Supports, cooperates with and demonstrates safe work
practices and attitudes, follows safety rules - including universal
precautions - reports and prevents/corrects unsafe conditions and
behaviors, and participates in organizational and departmental
safety programs.7. Completes all required compliance standards that
may be department specific and/or identified by the organization.8.
Maintains current licensure, registration and/or certification, as
applicable, at all times.STANDARD QUALIFICATIONSTo 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.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential duties.A. Education /
Training:---High school diploma or GED.B. Work
Experience:---Minimum of one-year collection experience.---Relevant
education may substitute experience requirement.---Billing
experience, knowledge of UB claims form and knowledge of insurance
payment methodologies or knowledge of revenue cycle.C.
Certification, Licensure, Registration:---None required.D. Other
Qualifications:---Must be proficient with excel, Microsoft word,
and power point.* Beaumont Health grants equal employment
opportunity to all qualified persons without regard to race, color,
national origin, sex, disability, age, religion, genetic
information, marital status, height, weight, gender, pregnancy,
sexual orientation, gender identity or expression, veteran status,
or any other legally protected category.
Keywords: Beaumont Health, Southfield , Collections Specialist, Other , Southfield, Michigan
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