Hospital Collection Specialist

2 days ago


Bullhead City, Arizona, United States Exceptional Health Care Full time
Job Title:

Hospital Collection Specialist

Job Summary:

At Exceptional Healthcare, we strive to deliver exceptional patient care and outcomes. We are seeking a skilled and detail-oriented Hospital Collection Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the highest quality and safe delivery of customer service, maintaining compliance with professionalism and regulatory processes and requirements.

Key Responsibilities:
  • Collect and process payments in person or over the phone
  • Make outbound calls to resolve patient accounts
  • Document all collections activity performed on each account in the system
  • Analyze accounts for errors, adjustments, credits, and issue corrected entries when required
  • Escalate complex issues and update patient account information
  • Provide regular feedback to management on payer behavior trends
  • Prepare required appeals relating to past timely filing, medical necessity, and other claims
  • Sort and file correspondence
  • Establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Requirements:
  • High School Diploma or GED
  • Some college, Associates, or bachelor's preferred
  • Minimum 2-3 years of patient experience or customer service experience preferred
  • Minimum 2-3 years with a deep background in Insurance preferred
  • Minimum 2-3 years with a deep background in Benefits preferred
Knowledge, Skills, and Abilities:
  • Extremely conscientious with excellent organizational skills
  • Capable of working independently and as a team member
  • Must be very customer service oriented
  • Broad knowledge of the content, intent, and application of HIPAA, federal and state regulations
  • Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization
  • Ability to stay focused in a fast-paced environment, manage time efficiently, and able to multi-task

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