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Medicare Collections Specialist

Company: Parallon
Location: Hendersonville
Posted on: August 10, 2019

Job Description:

Description SHIFT: No Weekends

SCHEDULE: Full-time

Parallon believes that organizations that continuouslylearn and improve will thrive. That---s why, after more than a decade, we remaindedicated to helping hospitals and hospital systems operate knowledgeably,intelligently, effectively and efficiently in the rapidly evolving healthcaremarketplace, today and in the future. As one of the healthcare industry---sleading providers of business and operational services.-- Parallon is uniquely equipped to provide abroad spectrum of customized revenue cycle services.--JOB TITLE: MedicareSpecialist--GENERAL SUMMARY OFDUTIES -Responsible for all aspects of Medicare receivable processing, including butnot limited to, billing, collection, account and system maintenance, processreconciliation, and productivity reporting.SUPERVISOR - Manager ofCollections & Customer ServiceSUPERVISES --- NoneDUTIES INCLUDE BUTARE NOT LIMITED TO:--- Maintains currentknowledge of all office operations, job specific requirements and relatedregulations.--- Reviews all claimsfor completeness, reasonableness of charges, and appropriateness of billingcodes, and payer information.--- Pursues timelycollection of each claim using thorough follow-up efforts appropriate to eachpayer.--- Reviews, makescorrections to, and insures the legibility of outgoing secondary bills, andother correspondence before sending.--- Handles allincoming phone calls and inquiries in a appropriate manner.--- Properly processesand responds to incoming correspondence.--- Contacts andeffectively communicates with all parties involved in the resolution ofaccounts placed.--- Completes workrequest timely and in accordance with instruction.--- Performs all ofthe task necessary to maintain current and accurate account information in eachof the appropriate systems (i.e. entering notes, claims on hold).--- Forwards and logsall documentation related to processes and duties which are transferred toother employees.--- Brings problemsand troubling accounts, as well as related questions, to his/her immediatesupervisor---s attention daily.--- Exercised goodjudgment and makes sound decisions in the absence of detailed instructions orin a emergency situation.--- Treats clientrequest with a high priority. Quickly informs supervisor and any otherpersonnel needed to help carry out the request timely, accurately, andaccording to instruction.--- Strives to improvecurrent operations by identifying inefficiencies and recurring problems, and bymaking suggestions to the immediate supervisor.--- Adapts andconforms to company and client requirements not specified in this jobdescription/performance review.--- Promotes theMedicare Service Center and helps to identify the necessary resources to meetthe needs of its customers.--- Practice andadhere to the ---Code of Conduct--- philosophy and ---Mission and Value Statement------ Other duties asassigned--KNOWLEDGE, SKILLS& ABILITIES--- Knowledge ofMedicare regulations.--- Knowledge of UB-92billing.--- Knowledge of 1500billing.--- Knowledge of ICD-9and CPT-4 coding.--- Analytical andorganizational skills.--- Ability toidentify, set, and follow priorities.--- Knowledge ofhospital business office operations.--- Strong PC and dataentry skills.--- Ability tocommunicate effectively with employees, clients, and others.--- Character tomaintain strict confidentiality.--EDUCATION--- High schoolgraduate or equivalent.--EXPERIENCE--- Minimum of 2 yearsMedicare claim processing experience.--CERTIFICATE/LICENSE-N/A--

Company Description:

HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Hendersonville , Medicare Collections Specialist, Accounting, Auditing , Hendersonville, Tennessee

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