Collection Specialist (On-site)

General Summary: This position is primarily responsible for performing a variety of duties with the goal of maximizing cash flow and minimizing outstanding receivables and interacting with patients and insurances to secure payment on patient accounts

Supervisory Responsibilities: This position has no supervisor responsibilities.

General Requirements: All duties performed will be done accurately and in a timely manner.

• Collects balance owing from third party payers in accordance with state and federal laws governing collection practices.
• Processes correspondence and denials from the Insurance Carrier.
• Posts contractual adjustments as needed.
• Posts write off adjustments after approval from the Director - Business Office.
• Processes payments by credit card.
• Answers calls and correspondence received by patients.
• Requests additional information within the organization such as medical records, explanation of benefits, etc. to appeal claims that have been denied.
• Responsible for Work Aged Accounts Receivable Report.
• Processes refunds as needed.
• Verifies insurance eligibility when needed.
• Review commercial contract reimbursement guidelines for proper claim adjudication.
• Ensure daily productivity standards are met in accordance to documented procedures.
• Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers.
• Able to work efficiently under pressure.
• Maintain strict confidentiality.
• Other duties as assigned.
  
  

Essential Job Responsibilities

• Will be reviewing accounts for accuracy and reviewing future appointment to collect balances owed
• Taking and making outbound calls to patients owing balances
• Collects balance owing from third party payers in accordance with state and federal laws governing collection practices.
• Processes correspondence and denials from the Insurance Carrier.
• Posts contractual adjustments as needed.
• Posts write off adjustments after approval from the Director - Business Office.
• Processes payments by credit card.
• Answers calls and correspondence received by patients.
• Requests additional information within the organization such as medical records, explanation of benefits, etc. to appeal claims that have been denied.
• Responsible for Work Aged Accounts Receivable Report.
• Processes refunds as needed.
• Verifies insurance eligibility when needed.
• Review commercial contract reimbursement guidelines for proper claim adjudication.
• Ensure daily productivity standards are met in accordance to documented procedures.
• Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers.
• Able to work efficiently under pressure.
• Maintain strict confidentiality.
• Other duties as assigned.