Collection Specialist

Excellent opportunity for an experienced medical billing or collections professional looking for an in person role!  If you thrive in a fast-paced, patient and customer centered environment - This is the opportunity for you!

The Collection Specialist manages overdue accounts receivable by contacting customers, negotiating payment plans and documenting actions to recover outstanding debts. They are responsible for reconciling payment discrepancies, reducing delinquency, maintaining accurate account records, and ensuring compliance with regulations. 

Key Responsibilities

• Resolve insurance related billing issues with patients and/or insurance carriers


• Serve as primary representative for patient inquiries/calls


• Contacting clients via phone, email, and mail regarding delinquent accounts to secure payment as required within a reasonable timeframe.


• Promptly and expeditiously responds to customer inquiries, resolving discrepancies, processing and reviewing account adjustments.


• Manages accounts by reviewing and updating account statuses, identifying delinquencies and resolving billing disputes. 


• Maintains documentation accurately with detailed records of all collection actions, communications and payments.


• Prepare ageing reports, processing payments and conducting skip tracing to assist in location services. 


• Provides high level problem solving, to assist clients with identifying alternative payment options and payment plans.


• Adheres to legal standards and company policies regarding debt collection practices and processes. 


• Maintains knowledge of government and commercial insurance and Credit & Collections policies


• Proficient in the Identification of needs and requests rebills to insurance, utilizing available resources to obtain updated information and reissue correspondence. 


• Maintains confidentiality of patient information while on the phone or in-person


• Consistently maintains aged invoices utilizing various reports and the collection module using Zoll Rescue Net


• Clearly communicates potential problems and concerns that may affect collections in a timely and discrete manner.


• Consistently meets and maintains productivity goals and defined benchmarks on a weekly basis. 


• Additional projects and responsibilities as assigned and requested. 


• Maintains knowledge of and complies with all company policies, procedures, and guidelines at all times.

Education & Experience:

• High school diploma or GED equivalent.


• 3-5 years Accounts Receivable follow up experience


• Prior experience with Ambulance/EMS/Medical billing preferred


• Previous Collections and Customer Service experience preferred

Knowledge, Skills and Abilities:

• Knowledge of HIPPA and Healthcare standards 


• Familiarity with Medicaid and Medicare Guidelines


• Working knowledge of Web based applications and Microsoft Office, including Excel and Word required


• Communicate effectively, both verbally and in writing; ability to understand and carry out verbal and written instructions.


• Analytical skills to gather and interpret data


• Ability to exercise sound judgment and discretion at all times


• Strong interpersonal skills 


• Excellent organization skills: attention to detail and follow-through


• Resolve issues quickly and efficiently 


• Able to multitask, take charge and ownership of tasks


• Ability to work independently and in a team setting


• Handle highly confidential information with complete discretion


• Ability to work in a Fast paced, high demand environment

Requirements:

• Must be minimum of 18 years of age 

• Ability to meet the essential duties and physical, mental and sensory requirements of the position at all times. 

• Completion and receipt of satisfactory background check and MA CORI (Criminal Offender Record Information), verification may be required annually.

Physical/Mental/Sensory Requirements include: Primarily requires high manual dexterity, near-acuity vision for screen work, and the ability to sit for extended periods (roughly 80% of the day) while handling, typing, and reaching for documents. Mental requirements include strong organizational, communication, and multitasking skills. Physical tasks occasionally involve bending and occasionally lifting up to 10-25 pounds.