Job Description

Claims Specialist I
St. Dominic Medical Associates
Employment Type:
Full Time 80
Other Shift Details:
Job Code:

Job Summary

Collects on accounts included in Non-Government sector (for example Commercial, Blue Cross, Worker's Compensation, etc.); identifies and classifies installment accounts; maintains assigned accounts by computer for review; assists Supervisor in determining accounts that meet write-off criteria. Must have strong keyboarding skills, some medical office experience is a preferred. Performs all job functions related to inpatient and outpatinet billing and collection operation for the Non-Government sector. Arranges terms of payment and follow-up of accounts. Attempts to collect accounts that are delinquent including negotiating payment schedules. Documents all customer telephone inquiries to ensure accurate credit data. Analyzes accounts and determines when an account is uncollectible; recommends bad debt, legal or charity write-off when applicable. Telephones or sends form letters in initial stages of collections in delinquent account situations. Maintains up-to-date patient accounts. Answers all inquiries regarding patient accounts, respecting patient confidentiality and legal limits on releasing information. Counsels patient requiring external financial assistance, including recommending third parties. As needed, counsels patient or family regarding hospital payment financial matters, before or after discharge or service performed. Obtains strong interpersonal and communication skills and the ability and desire to work with diverse staff. Performs miscellaneous job-related duties as requested Must have some knowledge of medical insurance, data entry and understanding of CPT and ICD-9 codes. At least 1-2 years of previous experience with coding charges preferred.

Minimum Education

High school diploma or equivalent, associate degree preferred.

Preferred CPC certification through AAPC

Application Instructions

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