Collections Specialist - Denials - Patient Accounts

JOB TITLE: Collections Specialist - Denials 

DEPT: Patient Accounts

LOCATION: Maury Regional Medical Center - Columbia, TN

SHIFT: Full-Time Mon-Fri (several schedules to choose from)

MAURY REGIONAL HEALTH:

At Maury Regional Health, patients are at the heart of everything we do. We're committed to clinical excellence and compassionate care, offering exceptional service. As a top-rated organization, we foster an inclusive, collaborative work environment where innovation and patient care lead the way.

JOB SUMMARY:

The Collection Specialist is responsible for performing credit analysis on all account in a credit status, document accurately and clearly if the claim is paid correctly according to contract, document accurately, clearly and give specific details if the claim is paid incorrectly and requires an underpayment appeals or over payment refund. Identify patient liability and know when and how to transfer balance to the patient. Know how to determine if an overpayment is the result of a patient payment or an insurance payment. Process patient and insurance refunds for overpayments. Process payment transfers to have monies applied correctly. Works closely with Contract department ensure compliance with contracts. 

JOB REQUIREMENTS:

· 3 Years of Related Experience in Medical or Hospital Setting Required 

· High School Diploma or Equivalent Preferred 

WHY MAURY:

· 2024 Best Place to Work & 2024 Best Place for Working Parents

· Medical, Dental, Vision, Retirement Plans & PTO

· Educational Assistance, Tuition Reimbursement & Career Advancement Navigation

· Employee Discounts

· Childcare Services – Hospitots

· Adoption Assistance

For more information: About Maury Regional Health

MISSION, VISION & VALUES:

MISSION: Clinical excellence. Compassionate care. Every patient. Every day.

VISION: To be the trusted choice for health and wellness in southern Middle Tennessee by delivering a safe, seamless and patient-centered experience.

VALUES:

W – Wholeness: Wellness-centered care of mind, body & spirit for our patients & health care team.
E – Empathy: Understanding the feelings of others as we walk with them on their path to wellness.

C – Community: Creating relationships, connections & trust.
A – Advocacy: Defending the rights of all to be heard.
R – Respect: Treating everyone with dignity & respect.
E – Engagement: Actively involving all stakeholders in creating better health outcomes for southern Middle Tennessee.

STRATEGIC ANCHORS:

· Quality patient care

· Highly effective teams

· Stewardship of resources

· Innovative culture

Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.