Collections Specialist

Medical Billing Collections Specialist

Job Description

Physicians Management Group, which provides all administrative services for Maryland Primary Care Physicians LLC, has a Collections Representative opening. Under the supervision of the Collections Supervisor, the Medical Billing Collections Specialist is responsible for collecting outstanding customer accounts balances, helping resolve customer billing problems, and handling incoming patient calls.

Daily work activities include but are not limited to:

• Review open accounts for collection efforts.
• Mail correspondence to customers to encourage payment of delinquent accounts.
• Review and monitor assigned accounts and all applicable collection workques.
• Respond to inquiries from customers or external collection resources.
• Review accounts for possible assignment to the collection agency.
• Accurately and concisely document notes in the medical software system per company guidelines.
• Answer and respond to patient calls and address their questions and concerns professionally and promptly.
• Process patient payments.
• Respond to e-mail and phone inquiries from individual practice sites.
• Ensure compliance with rules and regulations for insurance carriers and Fair Debt Collection Practices Act.
• Communicates effectively with staff at all levels of the organization, both inter and intra-departmentally.
• Provide guidance and instruction to fellow team members when necessary.
• Provide information regarding work progress, actions, and issues promptly and effectively. Recommend improvements.
• Effectively identify and communicate to the supervisor changes, issues, or when assistance is needed.
• Support and backup other areas of the department as needed.
• Maintains full HIPAA compliance and standards.
• Perform other duties as assigned.

POTENTIAL TO WORK HYBRID REMOTELY AFTER PROVEN PRODUCTIVITY. TRAINING TO TAKE PLACE ON-SITE.

Knowledge, Skills, and Abilities:

• Must have proficient knowledge of insurance requirements, medical terminology, medical necessity associated with various procedure codes. Must have a working knowledge of practice management system/EHR system(s), CPT, modifier, ICD-10 coding, and governmental and commercial insurance guidelines. Understanding of insurance explanation of benefits and other insurance correspondence. Knowledge of governmental legal and regulatory provisions related to collection activities. Customer service and customer phone communication experience with an ability to communicate effectively and provide excellent customer service. Must be able to problem-solve, follow written and oral instructions, and function effectively as a team with other employees. Ability to work independently, both remotely and in an office environment. Excellent time management skills and attention to detail. Maintain the confidentiality of patient information following company policy and procedure and HIPAA regulations. Possess proficient use of computerized billing systems, personal computers, and Microsoft Word and Excel software applications. Epic Software experience is a plus.

Job Type: Full-time

Schedule:

• Monday to Friday

Experience:

• Collections Experience: 1 year
• Medical Billing: 1 year (Required)

MMR

TB

Flu