Collections and Payments Specialist

Major Responsibilities

• Proactively performs collections activities in accordance with established guidelines to interact with third party payors and patients for the purpose of collecting past due health insurance claims
• Achieves daily accomplishments that produce progress towards monthly, quarterly and annual cash collection and accounts receivable goals
• Actively engages in assigned quality assurance tasks to safeguard accurate and timely collections creation including compliance with organizational policies and payor guidelines
• Identifies and researches validity of past due and/or disputed claims to expedite appropriate action in securing timely payment
• Identifies areas of opportunity or potential patterns of noncompliance during normal course of responsibilities and escalates appropriately for review
• Negotiates payment plans, partial payments and extensions of credit with appropriate reports for escalation to management review