Patient Accounts Collections L
3.
6 Jupiter, FL Jupiter, FL Full-time Full-time Estimated:
$37K - $46.
8K a year Estimated:
$37K - $46.
8K a year Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.
Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs.
Jupiter Medical Center is the only hospital in Palm Beach, Martin, St.
Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).
Education:
High School Diploma.
2
years of experience working directly in medical collections, including appeals and denials, within a hospital system and or other healthcare facility.
Experience /
Qualifications:
Ability to coordinate denials team workflows and processes through multiple assigned projects.
Able to maintain clear and open lines of communication among numerous departments leadership within the revenue cycle management departments.
Experience working with Medicare, Medicaid, Managed Care, other government payers, and commercial insurance plans collections.
Ability to identify and calculate expected reimbursement from a UB-04, and provide clear written documentation to support logic applied.
Identifies claims denials and resolves claims requirements from payors.
Possesses and maintains working knowledge of the payer's appeals process.
Ensures the required supporting clinical and other required documentation is on file for the appeals prior to submitting and or initiating the appeal's process with payers.
Familiarity with CPT and ICD-10 Codes, Procedural Modifiers, Claim Forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
Demonstrates ability to retain knowledge and work independently in a fast-paced environment toward a designated goal.
Detail-oriented and have ability to multitask in an efficient/effective manner with minimal supervision.
Adheres to established productivity and quality standards and thresholds.
Provides ongoing recommendations for continued improvement to billing and claims submission processes to payers.
Possesses knowledge of healthcare industry standards, good computer skills with proficiency in windows applications.
Requires knowledge of standard office equipment (fax/copier, calculator, etc.
).
Ability to apply Mathematical and analytical skills.
Excellent oral, written, and interpersonal skills.
Position Summary Under the direct supervision of the PFS Collections manager, would be responsible for the preparation, submission, and follow up of assigned and or identified accounts on appeal; in order to obtain prompt payment and or resolution in accordance with JMC Business Office policies and procedures.
Provides expertise of explanation of benefits (EOBs), electronic payment Remittance (EPR), electronic funds transfer (EFT).
Denial management by investigating the reasons for denials, finding denial management strategies and preparing and submitting the appeals for the assigned and or identified assigned denials.
Maintains daily follow up of assigned accounts to obtain prompt payment or resolution in accordance with the JMC Business Office policies and procedures.
Maintains positive relationship with other hospital departments and payers' representatives.
Informs Collection Manager, and/or Managed Care of any contractual issues which might require heighten Managed care Director/Department intervention for resolution, specifically on denied claims.
Keeps Collection Manager informed of any potential negative financial impact on assigned accounts, including trending issues on appeals and denials from all payers.
Displays excellent customer service skills for both internal and external clients.
Comfortable within a team working and fast paced environment.
Applications utilized include Excel, Word, Star, Cerner, HPF, Experian products through Claim Source, Contract Manager, On-Target-Revenue/RAC Manager, and others as necessary.
Performs other job-related assignments as requested by the Collections Manager.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
6 Jupiter, FL Jupiter, FL Full-time Full-time Estimated:
$37K - $46.
8K a year Estimated:
$37K - $46.
8K a year Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.
Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs.
Jupiter Medical Center is the only hospital in Palm Beach, Martin, St.
Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).
Education:
High School Diploma.
2
years of experience working directly in medical collections, including appeals and denials, within a hospital system and or other healthcare facility.
Experience /
Qualifications:
Ability to coordinate denials team workflows and processes through multiple assigned projects.
Able to maintain clear and open lines of communication among numerous departments leadership within the revenue cycle management departments.
Experience working with Medicare, Medicaid, Managed Care, other government payers, and commercial insurance plans collections.
Ability to identify and calculate expected reimbursement from a UB-04, and provide clear written documentation to support logic applied.
Identifies claims denials and resolves claims requirements from payors.
Possesses and maintains working knowledge of the payer's appeals process.
Ensures the required supporting clinical and other required documentation is on file for the appeals prior to submitting and or initiating the appeal's process with payers.
Familiarity with CPT and ICD-10 Codes, Procedural Modifiers, Claim Forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
Demonstrates ability to retain knowledge and work independently in a fast-paced environment toward a designated goal.
Detail-oriented and have ability to multitask in an efficient/effective manner with minimal supervision.
Adheres to established productivity and quality standards and thresholds.
Provides ongoing recommendations for continued improvement to billing and claims submission processes to payers.
Possesses knowledge of healthcare industry standards, good computer skills with proficiency in windows applications.
Requires knowledge of standard office equipment (fax/copier, calculator, etc.
).
Ability to apply Mathematical and analytical skills.
Excellent oral, written, and interpersonal skills.
Position Summary Under the direct supervision of the PFS Collections manager, would be responsible for the preparation, submission, and follow up of assigned and or identified accounts on appeal; in order to obtain prompt payment and or resolution in accordance with JMC Business Office policies and procedures.
Provides expertise of explanation of benefits (EOBs), electronic payment Remittance (EPR), electronic funds transfer (EFT).
Denial management by investigating the reasons for denials, finding denial management strategies and preparing and submitting the appeals for the assigned and or identified assigned denials.
Maintains daily follow up of assigned accounts to obtain prompt payment or resolution in accordance with the JMC Business Office policies and procedures.
Maintains positive relationship with other hospital departments and payers' representatives.
Informs Collection Manager, and/or Managed Care of any contractual issues which might require heighten Managed care Director/Department intervention for resolution, specifically on denied claims.
Keeps Collection Manager informed of any potential negative financial impact on assigned accounts, including trending issues on appeals and denials from all payers.
Displays excellent customer service skills for both internal and external clients.
Comfortable within a team working and fast paced environment.
Applications utilized include Excel, Word, Star, Cerner, HPF, Experian products through Claim Source, Contract Manager, On-Target-Revenue/RAC Manager, and others as necessary.
Performs other job-related assignments as requested by the Collections Manager.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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