Collector
USPI, INC.
Collector
USPI Memorial Hermann Surgery Center at Park Ten, is seeking a motivated Collector to join our team. Memorial Hermann Surgery Center at Park Ten is a multi-specialty surgery center committed to producing the highest quality work and experience for patients and their families.
Job Summary: The collector is responsible for recovering outstanding payments for healthcare services from patients and insurance companies. Copies, retrieves and tracks medical records requests from insurance companies. Assembles medical records and sends as requested for appeals and denials. Responsible for follow up on delinquent surgery center claims and working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.
Required Skills:
- Minimum 1-2 years of hospital or medical records experience required.
- 1-2 years' previous collections experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting.
- Knowledge of The Joint Commission Standards
- Ability to use time wisely in preparing work area to meet high-paced demand.
- Show a genuine desire to work and improve the center as a whole.
- Must be detail oriented.
- Must be able to communicate verbally and non-verbally in a professional manner.
- Must be able to adhere to hospital financial and admitting policies.
- Ability to promote positive relationships with patients and staff.
- Must know insurance verification and collection processes.
- Must have problem solving and decision-making skills.
- Professional appearance.
- Must demonstrate excellent phone etiquette and exceptional customer service skills.
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