Healthcare Collections Specialist

2 weeks ago


Morgantown, West Virginia, United States WVU Medicine Full time
Job Overview

We are seeking a highly motivated and detail-oriented Healthcare Collections Specialist to join our team at WVU Medicine. This is a hybrid position that requires an average of 2 days working in the office.

About the Role

The successful candidate will be responsible for processing various accounts, including Estates/Deceased, Bankruptcy, Charity Processing, Self-Pay Credit balances, Bad Debt/Court Hearing Representative, Coverage Review/Change, and Risk management Accounts.

Key Responsibilities
  • Process collections, court appearances with follow up, files, storage retrievals, telephone inquiries, special billing functions, patient representative coverages, PC/CRT usages.
  • Files, scans, and retries documents. Shreds/discards documents.
  • Responsible for Estate Searches, Estate filing, and follow up for final resolution. Processes date of death notices.
  • Receives Initial bankruptcy notices, processes bankruptcy accounts, and follows up for final resolution.
  • Processes Charity adjustments, reviews accounts for presumptive charity scoring.
  • Reviews accounts in the self-pay credit balance work queue, applies credit to current balances or processes patient refund.
  • Represents WVU Medicine in Court Hearings with/without legal representation.
  • Reviews work queues and accounts for possible Medicare bad debt adjustments. Reviews work queues for returned accounts from collection agencies and resolve accordingly.
  • Reviews work queue of accounts with new insurance coverage, and updates as needed. Must be able to determine if coverage needs to be added and initiate billing.
  • Works with team members from other departments to place accounts on hold for patient care issues, and follows up on account for final resolution.
Requirements
  • High school diploma or equivalent.
  • One (1) year experience in a healthcare setting.
Working Conditions

This role is exposed to high stress and constant interruptions. Normal business office surroundings.



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