<p>Collection Representative II - Denials</p> <p>Revenue Cycle Billing Operations</p> <p>Full-Time Days</p> <p>Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.</p> <p>Summary:</p> <p>Works under the direction of the Denials Management Supervisor to maintain the Denials Database. Reviews, analyzes and documents all outpatient denials received by payers. Follows up with insurance companies, physicians, various hospital departments (i.e. medical records, financial counseling, healthcare review, managed care, etc.) to assure the recovery of denied revenue. Conducts statistical analysis for all denials. Assists Supervisor and Manager, Accounts Receivable with the creation of payer report card data to be used for contract negotiations.</p> <p>Formal Education Required:</p> <ul> <li>Associate s degree in business, accounting, or closely related field or equivalent PAS/IT&S work experience </li><li>Additional experience may be substituted on a year for year basis for the education requirement </li></ul> <p>Experience and Training Required:</p> <ul> <li>Five (5) or more years experience in healthcare patient accounting or health insurance industry </li></ul> <p>Other Skills, Competencies and Qualifications:</p> <ul> <li>Knowledge of basic accounting procedures, computers and other equipment used in the PFS area </li><li>Diverse knowledge and experience in utilizing standardized PC software </li><li>Population Specific Competency: ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity </li></ul> <p>Equal Opportunity Employer/Veterans/Disabled</p> <p>$23.75/hr - $28.49/hr</p> <p>The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.</p> <p>Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.</p> <ul> <li>Basic Life and Accidental Death & Dismemberment (AD&D) </li><li>Supplemental Life and AD&D </li><li>Dependent Life Insurance </li><li>Short-Term and Long-Term Disability </li><li>Accident Insurance, Hospital Indemnity, and Critical Illness </li><li>Retirement Savings Plan </li><li>Flexible Spending Accounts - Healthcare and Dependent Care </li><li>Employee Assistance Program (EAP) </li><li>Identity Theft Protection </li><li>Pet Insurance </li><li>Education Assistance </li><li>Daily Pay </li></ul>