POSITION SUMMARY:

Under the general direction of the Billing Manager, the Collection Specialist is responsible for effective collection on patient accounts, accounts receivable follow-up, and reimbursement analysis. Monitor accounts aging details. Coordinates activities with the billing manager and billing staff and reports to accounting department for accounts receivable recording

ESSENTIAL DUTIES AND RESPONSIBILITIES: Listed below you will find Essential Duties and Responsibilities to successfully perform this job.

• Ensure all provider charges, treatments, and codes are posted correctly
• Prepare and submit clean claims to various insurance companies
• Work payer rejects and denials
• Interpret and resolve accounts receivable problems with patients and insurance companies
• Research customer discrepancies, discuss any deviation from client payment plans, obtain appropriate approvals to have open credits applied, and, in general, keep the accounts receivable systems clean
• Research disputed delinquent account balances, correct any errors including misapplied payments, direct deposit, and overpayment from insurance errors
• Responsible for the generation and mailing of weekly patient billing, and accurate collection of accounts receivable
• Support and train site checkout staff and patient representatives in charge entry system
• Review status of delinquent accounts and initiate appropriate collection action including telephone calls and correspondence on delinquent accounts
• Support management on special projects
• Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
• Assist dental and medical staff with billing/account questions
• Answer patient inquiries regarding statements/billing
• Performs other duties as assigned by Billing Manager

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION, EXPERIENCE & CERTIFICATES:

• High School Diploma OR equivalent. Bachelor’s in accounting or Finance preferred.
• Certificate of completion for an accredited Billing and Coding program OR Certified Code Certificate OR equivalent preferred
• Minimum of three years of experiences in billing and/or coding OR in accounting. Two years of experience in FQHC setting qualifies for this position.

SKILLS & KNOWLEDGE

• Practices in a professional manner, and collaborates with other health team member
• Knowledge of policies, and resources in a community clinic setting.
• Personal computer skills including Word, Excel, Power point, and Outlook.
• Ability to handle multiple tasks in a high volume environment.
• Ability to prioritize and perform a variety of tasks in a fast paced environment.
• Ability to take initiative, function with a high level of independence and problem solve.
• Some knowledge on health insurance coverage(s) and how they are applied to patients in all areas of health, including but not limited to: medical, behavioral and dental.

COMMUNICATION:

• Effective oral and written communication skills to make presentations
• Communicates in a positive, professional and effective manner with members of the health care team.
• Answers inquiries accurately and in a timely manner.
• Write reports, memos, and evaluation in a complete, clear, concise and timely manner

ATTENDANCE:

• Regular attendance is a requirement of this position.

Job Types: Full-time, Contract

Pay: $26.00 - $30.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday
• Weekends as needed

Education:

• High school or equivalent (Preferred)

Experience:

• Collection: 1 year (Required)

Work Location: In person