Patient Collections Specialist

2 weeks ago

Modesto, California, United States Yosemite Pathology Medical Group Full time
Job Title: Patient Collections Specialist

Yosemite Pathology Medical Group is seeking a skilled and detail-oriented Patient Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for overseeing patient accounts receivable process for anatomic pathology services, ensuring accurate billing, efficient claims processing, and effective accounts receivable management of co-payment, deductible, co-insurance, and non-insurance cash pay cases.

Key Responsibilities:
  • Respond to messages in a timely manner and maintain performance metrics standards (KPIs)
  • Timely follow-up and collections of outstanding patient aging
  • Provide support and guidance to patients regarding billing inquiries
  • Answer all in-bound phone calls and make outbound phone calls to collect on outstanding balances
  • Set up payment arrangements within Financial Policy guidelines
  • Maintain log of promised payments and patient payment plans
  • Process patient payments over the phone
  • Return voicemails in a timely manner and submit claims to insurance providers in a timely and accurate manner when insurance information is provided by the patient
  • Remove accounts from third party collections if paid by patient
  • Mail patient refunds and notate accounts accordingly
  • Resolve return mail and update billing information as needed
  • Make outbound patient calls to obtain updated credit card information when declined or insufficient
  • Assist the payment posting desk with reconciling patient payments
  • Assist the client desk with client collection calls as needed
  • Assist with other billing duties as assigned
Requirements and Skills:
  • 3+ years of medical billing experience (Pathology billing experience is a plus)
  • High school diploma
  • Bilingual Spanish communication skills essential in this role - highly preferred
  • Advance knowledge of PPO, HMO, IPA, CMS, Managed Medi-caid/Managed Medicare
  • Working knowledge of CPT/ICD Codes
  • Knowledge of eligibility and benefits and ability to read and interpret EOB's
  • Familiarity with billing software online payor portal tools, XIFIN RPM a plus
  • In-depth knowledge of healthcare reimbursement processes, insurance regulations, and payer requirements in relation to patient billing and collections
  • Ability to work cooperatively with others demonstrating a positive and proactive attitude
  • Self-starter with solid organizational skills and ability to effectively manage multiple priorities or reprioritization of projects
  • Excellent written and verbal communication skills
  • Effective communication and collaboration skills to work across interdisciplinary teams
  • Strong analytical and problem-solving skills with ability to research and resolve issues
  • Ability to multi-task with a results-oriented paradigm in a fast-pace, high volume environment
  • Documentation skills with attention to detail
  • Proficient in Microsoft Office Suite - Strong Excel and Word skills are required
Compensation and Benefits:
  • The compensation range is $41,600 - $56,160 annually (non-exempt) paid semi-monthly on an eight (8) hour per day, forty (40) hour per week. Final salary offer subject to multiple factors including candidate experience and expertise, geographic location of the role, and current market data.
  • 401(k) includes an employer match up to 4%
  • Robust health plans including dental, vision, life, and mental health support
  • Offer generous annual vacation and sick time
  • 10 paid holidays
  • Annual scrub allowance for Lab roles

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