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Medical Collections Representative

1 month ago

Jacksonville, United States HALO Precision Diagnostics Full time
Job DescriptionJob Description

Saving Lives with Early Detection

Position: Medical Collections Representative
Location: Remote
Department: Finance/Revenue Cycle Management
Reports to: Billing Manager

Summary:

The Medical Collections Representative at Precision Imaging Centers, is responsible for managing and resolving outstanding patient balances and insurance claims. This role involves contacting patients and insurance companies to collect payments, addressing billing inquiries, and ensuring accurate account records. The ideal candidate will have a strong understanding of medical billing processes, excellent communication skills, and a high level of attention to detail.

Key Responsibilities:

  1. Collections and Follow-Up:

    • Contact patients via phone, email, and mail to collect outstanding balances.
    • Follow up with insurance companies to resolve unpaid claims and secure reimbursement.
    • Negotiate payment arrangements and payment plans with patients when necessary.
    • Document all collection activities and communications in the patient's account.

  2. Account Management:

    • Review and analyze patient accounts to identify discrepancies and determine appropriate actions.
    • Ensure all payments are accurately posted to patient accounts.
    • Monitor accounts for aging balances and take timely action to prevent delinquency.
    • Maintain organized records of collection activities and account statuses.

  3. Billing and Claims Resolution:

    • Address and resolve patient billing inquiries and disputes in a professional and courteous manner.
    • Work with the billing department to correct billing errors and resubmit claims as needed.
    • Verify patient insurance information and benefits to ensure proper billing.
    • Assist with the preparation and submission of appeals for denied claims.

  4. Compliance and Regulations:

    • Stay informed of current regulations and guidelines related to medical billing and collections.
    • Ensure all collection activities comply with federal and state laws, including HIPAA regulations.
    • Adhere to company policies and procedures regarding patient confidentiality and data security.
    • Knowledge of the Fair Debt Collection Practices Act (FDCPA) and the No Surprises Act is required.

  5. Reporting and Analysis:

    • Prepare and present regular reports on collection activities, account statuses, and outstanding balances to management.
    • Analyze collection data to identify trends and areas for improvement.
    • Provide feedback and recommendations to enhance collection processes and improve cash flow.
Qualifications:

Education:

  • High school diploma or equivalent required.
  • Associate or bachelor's degree in business, finance, or a related field preferred.

Experience:

  • Minimum of 5 years of experience in medical billing, collections, or accounts receivable.
  • Experience with medical billing software and electronic health records (EHR) systems.

Skills:

  • Strong understanding of medical billing and coding procedures.
  • Excellent verbal and written communication skills.
  • Utilizes active listening skills to effectively understand and address patients' emotions.
  • Applies Emotional Intelligence to understand and respond to customers' emotions resulting in enhanced customer satisfaction.
  • Proficient in Microsoft Office Suite (Excel, Word, Outlook).
  • Strong analytical and problem-solving abilities.
  • High level of attention to detail and accuracy.
  • Ability to handle sensitive and confidential information with discretion.
  • Knowledge of the Fair Debt Collection Practices Act (FDCPA) and the No Surprises Act.
Work Environment:
  • Remote setting with standard business hours.
  • Occasional overtime may be required based on workload and deadlines.

Why Precision Imaging Centers:
  • Competitive salary based on experience and qualifications.
  • Health, dental, and vision insurance.
  • Retirement plan options.
  • Paid time off and holidays.
  • Professional development opportunities.
We are growing throughout Florida and expanding our team. Join us and advance your career as we continue to grow Thank you for your interest in joining our team Precision Imaging Centers - Exceptional Clarity. Superior Care.

Note: This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as negotiated to meet the ongoing needs of the organization