Franciscan Health
Franciscan Health
Franciscan Health is a healthcare organization providing medical care through clinical, allied health, nursing, physician, advanced practice, home health, hospice, and administrative teams. Rooted in the Franciscan tradition, the organization focuses on compassionate care and service to communities while offering career opportunities across a broad range of healthcare specialties and support functions.

Remote Healthcare Collections Specialist

Manage healthcare claims, denials, payment discrepancies, and patient accounts for Franciscan Health in a remote role. Support accurate billing follow-up and revenue-cycle process improvements.

Description

  • Follow up accurately, compliantly, and promptly on claims submitted to third-party carriers and intermediaries.
  • Respond to inquiries within required timeframes and hospital policies.
  • Track claims and comply with contractual requirements.
  • Review denials and payment discrepancies shown on EOBs, RAs, and payer correspondence.
  • Analyze denial trends, provide supporting documentation and data, and recommend process improvements.
  • Review system worklists daily and resolve accounts unpaid within 30 days of claim submission.
  • Record patient-account activity accurately and promptly.
  • Maintain follow-up procedures and collaborate with HIM and Patient Access.
  • Verify newly received status information and update patient accounts.
  • Escalate suspicious activity to the appropriate contact.
  • Collaborate with the department to improve processes, increase efficiency, and support overall goals.

Requirements

  • High school diploma or GED required.
  • Two years of patient accounting experience, particularly in billing, collections, customer service, or cash application, preferred.
  • One year of working knowledge of Microsoft Office applications, medical and managed-care contract terminology, and revenue-cycle procedures preferred.
  • Must comply with all applicable state and federal billing regulations.
  • Travel is never or rarely required.

Benefits

  • Eligible for benefits.
  • Opportunities for professional growth.
  • Comprehensive benefits package available to eligible employees.
  • Work-from-home opportunity.

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