Collections

• Follow up on, collect, and resolve outstanding accounts receivable
• Perform accounts receivable follow-up for assigned work queues and miscellaneous A/R reports
• Contact insurance companies, patients, and employers regarding outstanding claims
• Provide medical records, itemized statements, and other information requested by insurers
• Maintain systems for timely follow-up on outstanding claims
• Identify and report insurance payer issues with supporting documentation
• Consult with the lead regarding difficult claims
• Communicate issues to teammates and the Follow-up & Collection Supervisor
• Refer accounts for adjustment, agency placement, or attorney referral according to PHS guidelines
• Cross-train in Patient Accounting Department areas
• Document accounts according to PHS policies and procedures
• Operate Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, payer portals, and Microsoft Office Suite
• Participate in team meetings and proactively communicate work-related ideas and concerns
• Maintain positive working relationships with team members and PHS departments
• Meet goals and objectives in compliance with PHS policies and CMS rules and regulations
• Perform other duties assigned by the Follow-up & Collection Supervisor and/or Manager

Explore Patient Accounting Collections Specialist at Presbyterian Healthcare Services. Review requirements and application details.