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Medical Collections Specialist
3 days ago
Job Title: Medical Collections Specialist
M-F 8-5
Job Summary: We are looking for a dedicated Medical Collections Specialist who excels in both customer service and collections management. In this role, you will be responsible for handling incoming calls from patients regarding their medical bills, providing exceptional customer service, and managing soft collections efforts. Additionally, you will verify and update insurance coverage details, ensuring accurate billing and timely payments.
Responsibilities:
- Customer Service: Handle inbound calls from patients in a professional and empathetic manner, addressing inquiries about their bills, payment plans, and insurance coverage.
- Soft Collections: Conduct soft collections activities by contacting patients with outstanding balances to discuss payment options and arrangements, while maintaining positive customer relationships.
- Insurance Verification: Verify patient insurance coverage by contacting insurance companies, updating patient records with new insurance information, and ensuring accurate billing and reimbursement.
- Coverage Updates: Add new insurance coverage details to patient accounts, ensuring all necessary information is documented correctly. Remove outdated or invalid coverage information as needed.
- Documentation and Reporting: Maintain detailed records of all communications and transactions related to patient accounts, updating internal databases or software systems accurately.
- Compliance: Adhere to all regulatory requirements and company policies regarding billing, collections practices, and patient confidentiality.
Qualifications:
- Education: High school diploma or equivalent; additional education or certification in medical billing or related field is preferred.
- Experience: Proven experience in medical collections, customer service, or healthcare administration. Familiarity with insurance verification and billing processes is essential.
- Skills:
- Strong communication skills, both verbal and written.
- Excellent customer service and negotiation skills.
- Ability to handle sensitive patient information with confidentiality and professionalism.
- Proficiency in using medical billing software and databases.
- Detail-oriented with strong organizational and time management skills.
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* Record information about financial status of customers and status of collection efforts.
* Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment.
* Locate and monitor overdue accounts, using computers and a variety of automated systems.
* Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.
* Answer customer questions regarding problems with their accounts.
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