Insurance Biller Collector PFS

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

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

- 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