Job Details

Overview

At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do bestcaring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration. Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we enable each location to operate efficiently while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments extend the healing presence of humankindness everywhere we serve.

Responsibilities

Responsible for the timely follow-up on accounts and resolves denials and/or correspondence. Assists in process improvements to bring about greater claim resolution. Has frequent contact with team members, third party payers and other medical center personnel.

• Appropriately works the accounts receivable and denials using the collection tool and policies and procedures to achieve department and hospital goals.
• Posts adjustments for appropriate account reconciliation and resolution.
• Rebills accounts and posts payments as required.
• Understands contracts and payer specific guidelines in order to ensure timely follow-up to avoid untimely denials and delays in cash flow.
• Maintains and facilitates communication within the business and clinical divisions.
• Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries.
• Participates in collector meetings, performance improvement activities and committees as assigned. Utilizes issues log when necessary.
• Meets productivity standards for working outstanding accounts and denials in an effort to achieve claim resolution.
• Other job duties as assigned.

Qualifications

• High School graduate or GED
• One year of clerical experience in an office setting; hospital or clinic collection experience preferred
• Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs
• Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
• Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
• Ability to maintain acute attention to detail
• Basic computer literacy and proficiency in Microsoft Windows
• Basic proficiency with MS Office (Outlook, Word, Excel)
• Experience with insurance billing computer applications preferred

Pay Range

$16.50 - $23.30 /hour

Seniorit y level

• Entry level

Employment type

• Full-time

Job function

• Accounting/Auditing and Finance
• Industries
• Hospitals and Health Care