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Collections Specialist

Company: Mission Healthcare Services Inc
Location: San Diego
Posted on: January 16, 2019

Job Description:

Business Service Line: Healthcare

Job Title/Position: Collections Specialist

Reports to: Director of Reimbursement

Job Description: Responsible for all collections activity for assigned payers and business lines.

Job Duties/Knowledge (Primary)

1. Manages all collections activity for assigned payers.

2. Works closely with Mission Healthcare staff in all departments to identify and correct problem areas negatively affecting reimbursement.

3. Stays abreast to industry standard changes and regulations relevant to reimbursement for the assigned payer mix.

4. Maintains frequent communication with Reimbursement Manager.

5. Address and resolve patient questions and concerns.

6. Provide respectful and considerate customer service to internal and external customers.

7. Meet defined department goals and activity metrics.

Qualifications

1. Industry standard knowledge of private insurance reimbursement standards in the Healthcare sector is absolutely necessary.

2. Experience collecting for Home Health, Hospice or Home Care agencies is heavily preferred.

3. Experience using EMR/EHR and practice management software. Experience with Home Care Home Base highly desired!

4. Strong verbal and written communication skills are a must.

5. Demonstrated ability to work effectively in a team.

Job Performance

1. Demonstrates initiative and skills in self organization and planning.

2. Desire to set and meet objectives and to find increasingly efficient ways to perform tasks.

3. Motivated to learn and grow in a rapidly moving and changing environment.

Mission/Company Standards Demonstrates company awareness and commitment

1. Understands and appropriately applies the chain of command in relation to job position and supervision.

2. Knows and understands the companys mission in relation to own job position.

Observes confidentiality policy at all times

1. Protects and honors customer and co-worker confidentiality.

2. Respects customers and co-workers right to privacy.

Observes attendance and attire policies

1. Meets attendance and punctuality expectations.

2. Demonstrates cooperation with scheduling requests to meet company needs.

3. Consistently adheres to company dress code.

Complies with all other related policies, procedures and requests

1. Recommends and/or supports changes to policies and procedures.

2. Demonstrates knowledge of policies and procedures applicable to own job position.

3. Adheres to policies and procedures. Honors requests of management for interim rules.

Conserves company resources

1. Maintains company property, supplies and equipment in a manner that demonstrates ownership and accountability.

2. Maintains the work area to reduce the likelihood of safety hazards and to enhance its general appearance.

Communication Skills Demonstrates interpersonal understanding and utilizes effective communication skills

1. Considers effects of words and actions on others.

2. Utilizes listening skills that indicate understanding and promotes accurate interpretation of others concerns, motivations and feelings.

3. Recognizes the influence of beliefs and cultures on behaviors and accepts strengths and limitations in others.

4. Works toward resolution of interpersonal conflicts as they arise.

5. Recognizes when others are in need of information, assistance or direction and consistently offers and provides help.

6. Attends and participates positively in meetings.

7. Regularly reads and appropriately applies information to practice.

8. Uses words that express respect, patience and understanding in interactions with others.

9. Acknowledges others verbally and nonverbally (eye contact, expression, tone of voice) promptly and courteously.

10. Follows appropriate phone etiquette.

Exhibits behaviors of cooperation

1. Develops cooperation and collaborative work efforts that generally benefit all involved parties.

2. Demonstrates the initiative to meet the needs of the company by assisting co-workers when work load permits.

Personal/Professional Development Continuing education and personal/professional development responsibilities

1. Maintains personal health status requirements in relation to job position.

2. Maintains current personnel file information and provides information to company in timely manner.

3. Sets own development challenges and volunteers to learn.

4. Adheres to company infection control and safety policies, including education, reporting, and practice implementation specific to job position.

5. Attends company provided in-service programs to fulfill requirements of position and company policies.

Exhibits adaptability, flexibility, self-control and maturity in work and behavior

1. Maintains stable performance and emotions when faced with opposition, pressure and/or stressful conditions.

2. Develops work relationships that honor and respect others strengths and abilities.

Problem Solving Exhibits critical thinking abilities and applies them for continuous improvement of services and the agency.

1. Uses own knowledge and experience base and other resources as necessary to make logical decisions and solve problems.

2. Continuously analyzes work processes and makes suggestions for improvement.

Degree of Disruption to Routine, Overtime Moderate.

Safety Hazards in Job Eyestrain and repetitive motion strain from computer use.

Travel Minimal.

Keywords: Mission Healthcare Services Inc, San Diego , Collections Specialist, Accounting, Auditing , San Diego, California

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