Collections Specialist

Collections Specialist

The Collections Specialist ensures accurate, compliant and timely follow up on all claims submitted to third party carriers/intermediaries and answers inquiries on a timely basis according to hospital policies.

Who We Are

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

What You Can Expect

Ensure follow-up of claims on a timely basis and adhere to contractually binding conditions.

• Daily review denials and payment discrepancies identified on EOB, RA, or Payer Correspondence.
• Identify trends of denials, provide documentation and data and offer suggestions for process improvement to resolve issues.
• Review system work-list, report on a daily basis to resolve accounts, which have not been paid within 30 days of claim submission.
• Document activity in an accurate and timely manner on the patient account.
• Maintain follow up procedures and working relationships with departments such as HIM and/or Patient Access.
• Verify newly received status information and update the patient account.
• Ensure compliance with all state and federal billing regulations and report suspicious activities to the appropriate person.
• Work with the department on process improvements to create efficiencies and achieve overall goals.

Qualifications

• Preferred Associate's Degree
• Required High School Diploma/GED
• 2 years Patient Accounting, specifically billing, collections, customer service, or cash application Preferred
• 1 year Working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated knowledge of Revenue Cycle procedures Preferred

Travel is required: Never or Rarely

Job Range: Collections Specialist $15.50-$19.63

Incentive: Not Applicable

Equal Opportunity Employer

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.