Collections Specialist

QUALIFICATIONS:

• High school diploma or GED required; Associate degree in Accounting Business or Healthcare Administration preferred.
• Minimum 12 years of experience in medical collections healthcare billing or a similar role ina hospital or clinic.
• Familiarity with EHR and billing systems (e.g. Epic Cerner Meditech) is highly desirable.
• Strong knowledge of insurance claims processes CPT/ICD-10 coding basics and third-party payer requirements.
• Excellent communication negotiation and problem-solving skills.
• Ability to manage multiple accounts and prioritize tasks in a fast-paced environment.

RESPONSIBILITES:

• Monitor and manage aged accounts receivable for both patient and insurance balances.
• Contact patients insurance companies and third-party payers to collect overdue balances via phone email or written correspondence.
• Review and resolve claim denials and underpayments including filing appeals when necessary.
• Work closely with the billing team to ensure accurate claim submissions and resolve billing discrepancies.
• Educate patients on their balances insurance coverage and payment plan options.
• Document all collection activities and patient interactions in the hospitals electronic health record (EHR) or billing system.
• Meet or exceed departmental productivity and collection goals.
• Stay updated on payer guidelines insurance policies and federal/state regulations (HIPAA
  FDCPA etc.).
• Maintain patient confidentiality and treat all individuals with respect and professionalism.
• Follow-up on accounts with outstanding balances that do not have appropriate payment
  arrangements.

PHYSICAL DEMANDS:

• Prolonged periods sitting at a desk and working on a computer.
• Occasional lifting of office supplies and files (up to 15 lbs.).

Required Experience:

IC