Appeals HD Collectors

at  Auxis

Job Summary:
The Appeals Collector is responsible for performing follow up on all appeals submitted to the payer for timely payment and resolution

Responsibilities:

• Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
• Overcome objections that prevent payment of the claim.
• Gain commitment for payment through concise and factual collectiontechniques.
• Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.
• Communicate trends to management as identified.
• Utilize effective documentation standards that support a stronghistorical record of actionstaken on the account.
• Meet the productivity and quality standards of the organization.
• Complete and comprehend all educational requirements
• Practice and adhere to the “Code of Conduct” philosophy and“Mission and Value Statement”
• Other duties as assigned

Skills and Experience:

• English – Spanish Language (Oral and writing 85% or higher), (B2+ or above).
• Must have a high school diploma.
• At least 1 year of experience in Customer Service or Backoffice positions.
• The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.
• A genuine interest in working with and helping customers.
• Must possess excellent communication skills and involvement.
• Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.
• Good presentation and a polite, tactful, and friendly character.
• Healthcare experience is a plus.

• Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients.
• Overcome objections that prevent payment of the claim.
• Gain commitment for payment through concise and factual collectiontechniques.
• Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.
• Communicate trends to management as identified.
• Utilize effective documentation standards that support a stronghistorical record of actionstaken on the account.
• Meet the productivity and quality standards of the organization.
• Complete and comprehend all educational requirements
• Practice and adhere to the “Code of Conduct” philosophy and“Mission and Value Statement”
• Other duties as assigne