Patient Collections Specialist
2 weeks ago
Join Spire Orthopedic Partners, a growing national partnership of orthopedic practices, as a Patient Collections Specialist. In this role, you will be responsible for a variety of office/clerical tasks relating to claims processing, contacting patients and responsible parties to resolve past-due accounts, and investigating account status and initiating collection.
Responsibilities:- Identify problem accounts with payers, investigate and correct errors, follow-up on missing account information, and resolve past-due accounts.
- Answer inquiries by phone regarding past-due accounts and medical insurance guidelines, research incorrect addresses for past-due accounts.
- Contact responsible party to resolve delinquent accounts, prepare payment plans, and monitor adherence to plans by responsible party.
- Address unpostables and apply remittances.
- May contact attorneys, employers, and others necessary to obtain information for resolution of credit and collection matters.
- Prepare reports to identify and resolve accounts receivable and referral problems.
- Update the patient record with actions taken, results of call, and follow-up measures if required.
- Provide excellent communication and service to answer questions, gather information, and problem-solve.
- Negotiate payment terms and methods.
- Composes routine correspondence, memos, letters, etc.
- Overcome consumer objections and offer suggestions to achieve payment results.
- Perform other duties as assigned in conjunction with the collection process.
- High school diploma or GED is required.
- Minimum of two (2) years medical collections experience preferred.
- Knowledge of medical office procedures, policies, practices, and medical terminology.
- Previous experience with office equipment, including copiers, fax machines, and computers.
- Strong verbal and written communication skills.
- Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers, and the public.
- Knowledge of common safety hazards and precautions to establish a safe working environment.
- Must be customer service oriented.
- Must be detailed and organized.
- Ability to answer the telephone in a pleasant and helpful manner.
- Knowledge of Fair Debt Collection Practices Act (FDCPA) and Health Insurance Portability and Accountability Act (HIPAA) guidelines/regulations preferred.
- Ability to communicate clearly utilizing proper grammar and telephone etiquette.
- Protects patient confidentiality and sensitive patient information.
- Ability to communicate with concern, empathy, and care; treat consumer with dignity and respect at all times.
- Knowledge of medical records filing systems (both alphabetically and numerically) and procedures, policies, including state and federal compliance of HIPAA and other regulatory policies.
- Knowledge of computer systems and associated applications (hardware/software) in support of organizational, business, and department functions.
- Knowledge of proper grammar, spelling, and punctuation, sentence structure, and proofreading for accuracy.
- Knowledge of insurance regulations, policies, and procedures.
- Excellent verbal and written communication skills.
- Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers, and the public.
- Ability to interpret, adapt, and apply guidelines and procedures.
- Ability to maintain strict confidentiality on all patient issues.
- Ability to work with and without supervision and perform a variety of routine tasks.
- Willingness to accept responsibility for established procedures.
- Excellent growth and advancement opportunities.
- Dynamic environment.
- Access to a diverse network of practitioners.
- Broad infrastructure of tools and programs to enhance the employee experience.
- Competitive Compensation.
- Generous PTO.
- Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").
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