Medical Collections Specialist

Hope Health Systems, Inc. is currently seeking a competent and detail-oriented Medical Collections Specialist to join our team. This role will work directly with patients, insurance companies, and medical providers, making it a crucial part of the billing department. Our ideal candidate will be familiar with medical billing procedures and have a strong understanding of patient accounting systems.

Responsibilities

• Handling and resolving patient billing inquiries and complaints efficiently
• Managing the collections process, including submitting medical claims to insurance companies and ensuring timely payments
• Reviewing accounts for potential write-offs and making appropriate decisions based on company guidelines
• Monitoring insurances and patient receivables to identify and escalate significant issues to the manager
• Conducting audits to ensure compliance with standard practices and applicable legal regulations
• Maintaining current and accurate records of each interaction with patients or insurers for future reference
• Providing reports on account statuses and collections activities to management as needed.
  
  

Qualifications

• A minimum of a high school diploma, though further education in finance, accounting, or a related field is preferred
• At least 2 years of previous experience in medical billing and collections, particularly in a healthcare setting
• Knowledge of insurance guidelines, including Medicare and state Medicaid
• Proficiency in using medical software programs and electronic health records
• Strong verbal and written communication skills
• Excellent analytical abilities and attention to detail
• A clear understanding of medical terminology and laws related to collection practices.
  
  

Benefits

• Comprehensive medical, dental, and vision health plans
• 401(k) retirement plan with company matching
• Professional development opportunities and continuing education assistance
• Flexible work schedule to promote work-life balance
• Paid time off, including vacations, holidays, and sick leave
• Wellness programs to support overall employee health and well-being.
  
  

The Medical Collections Specialist position at Hope Health Systems, Inc. is an excellent opportunity to apply your skills and knowledge in a supportive, patient-focused environment. If you are able to meet and maintain our high standards of professional and ethical conduct, we would love to consider your application.