Medical Collections Specialist
2 weeks ago
Responsibilities:
• Assist patients in making payments and negotiate payment schedules that are beneficial to both the facility and the patient.
• Handle customer service issues independently where possible, and escalate customer concerns to management when necessary.
• Collaborate with insurance verifiers and insurance collectors on the team to obtain and prepare documentation to resolve customer service issues related to patient responsibility and bill itemization.
• Advises team members and appropriate administrative personnel on issues relating to balances assigned to patient responsibility.
• Investigate patient responsibility related issues and arrange for follow-up with accounts needing attention from other team members or management.
• Enter notations and record the status on accounts as prescribed by internal policies and procedures.
• Prepare reports for team members and management as necessary, acting as a resource for patients, team members, facility personnel, and management.
• Be responsible for statement batch production, statement mailing, and collection follow-up phone calls.
• Audit, keep track, and follow up on accounts due for patient responsibility or patient refund.
• Communicate systemic issues relating to statement production and account balances to team members and management as appropriate.
• Recommend accounts to collections as dictated by the company’s internal guidelines and prepare and issue refund and transfer requests when appropriate.• Proficiency in Accounts Receivable (AR) is a must, as the role involves managing and tracking payments
• Experience in Appeals, as the candidate will need to handle and resolve any discrepancies or disputes
• Solid understanding of Billing Functions, as the position requires managing invoices and ensuring timely payments
• Familiarity with Claim Administration, as the job involves processing and managing insurance claims
• Comprehensive knowledge of Collection Processes, since the role involves recovering unpaid debts
• Excellent Customer Service skills, as the job requires interaction with patients and insurance companies to resolve payment issues.
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