Job Summary - The Appeals Collector is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolution.
Duties (included but not limited to):
Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
Overcome objections that prevent payment of the claim
Gain commitment for payment through concise and factual collection techniques.
Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response
Communicate trends to management as identified Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Meet the productivity and quality standards of the organization
Complete and comprehend all educational requirements
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Technical skills - Professional presentation skills needed to represent facilities in legal issues.
• Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Clinical skills - ability to read and interpret medical records a plus
• Adaptability - adapt well in a fast-paced changing environment
High school diploma or GED required
• Minimum one year related experience required, preferably in healthcare
• Relevant education may substitute experience requirement.
A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom