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Collections Specialist
Franciscan HealthCollections Specialist ensuring accurate, compliant follow-up on claims for Franciscan Health, with responsibilities in patient accounting and compliance with billing regulations.
About the role
Key responsibilities & impact- Ensure follow-up of claims on a timely basis and adhere to contractually binding conditions.
- Daily review denials and payment discrepancies identified on EOB, RA, or Payer Correspondence.
- Identify trends of denials, provide documentation and data and offer suggestions for process improvement to resolve issues.
- Review system work-list, report on a daily basis to resolve accounts, which have not been paid within 30 days of claim submission.
- Document activity in an accurate and timely manner on the patient account.
- Maintain follow up procedures and working relationships with departments such as HIM and/or Patient Access.
- Verify newly received status information and update the patient account.
- Ensure compliance with all state and federal billing regulations and report suspicious activities to the appropriate person.
- Work with the department on process improvements to create efficiencies and achieve overall goals.
Requirements
What you’ll need- High School Diploma/GED
- 2 years Patient Accounting, specifically billing, collections, customer service, or cash application
- 1 year Working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated knowledge of Revenue Cycle procedures.
Benefits
Comp & perks- Comprehensive benefit offerings
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
patient accountingbillingcollectionscash applicationrevenue cycle proceduresdenial managementprocess improvementdocumentationdata analysiscompliance
Soft Skills
communicationorganizational skillsproblem-solvinginterpersonal skillsattention to detail
Certifications
High School DiplomaGED