Appeals Hd Collectors

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 collection
techniques.
- 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 strong historical 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.