Collections Specialist

This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.

• Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
• Excellence in clinical care, service and communication
• Collaborative within our institution and with others who share our mission and goals
• Leadership that set the standard for pediatric health care today and innovations of the future
• Accountability to our patients, community and each other for providing the best in the most cost-effective way.

• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.

• Interprets claims processing reports and applies information to produce clean claims.

• Maintains current knowledge of regulatory billing requirements.

• Makes changes to demographic information as necessary in order to produce a clean claim.

• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.

• Analyzes coding to assure proper billing of claim.

• Participates in a variety of hospital educational programs to maintain current skill and competency levels.

• Requests and attaches required clinical documentation in accordance with third party requirements.

• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximized turnaround time.

• Performs miscellaneous job related duties as requested.