Collections Coordinator

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Job Type

Full-time

Description

Position Summary

The Collections Coordinator is responsible for managing all patient and insurance account balances to ensure timely and accurate reimbursement for services provided by Edmunds Gastroenterology. This role focuses on accounts receivable follow-up, communication with patients and payers, resolving claim denials, and maintaining compliance with billing regulations. The Collections Coordinator plays an essential role in supporting the financial health of the practice and delivering a positive patient experience.

Key Responsibilities

Accounts Receivable & Collections

• Monitor and manage aged accounts receivable, identifying overdue balances and prioritizing accounts for follow-up.
• Contact patients regarding outstanding balances in a professional, compassionate manner.
• Work directly with insurance companies to resolve unpaid or incorrectly processed claims.
• Process appeal letters, corrected claims, and supporting documentation as needed.
  
  

Patient Communication & Support

• Explain balances, payment plans, insurance coverage, and billing policies to patients.
• Assist patients in setting up payment arrangements and document all financial agreements.
• Respond promptly to patient inquiries by phone, email, or in person.
  
  

Claim Resolution & Compliance

• Research claim denials, coding issues, and billing discrepancies; coordinate with coders or clinical staff when necessary.
• Ensure all collection activities comply with HIPAA, Fair Debt Collection laws, and practice policies.
• Maintain accurate account records and document all follow-up activity in the practice management system.
  
  

Reporting & Administrative Duties

• Generate and review weekly and monthly A/R and collections reports.
• Identify trends in denials, payment delays, or payer issues and recommend solutions.
• Collaborate with billing team members to optimize the revenue cycle process.
• Support special projects, audits, and quality-improvement initiatives as assigned.
  
  

Requirements

• High school diploma or equivalent.
• Minimum 1–2 years of medical billing or collections experience (gastroenterology experience a plus).
• Knowledge of insurance guidelines, EOBs, CPT/ICD-10 coding basics, and reimbursement processes.
• Strong communication, negotiation, and customer-service skills.
• Proficiency with medical billing software and Microsoft Office.
  
  

Preferred

• Prior experience in a specialty practice or gastroenterology setting.
• Familiarity with common clearinghouses and payer portals.
• Bilingual skills (English/Spanish or English/other language).