Collections Specialist

Job Summary

Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims, working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary. Extensive contact with insurance carriers of all types, as well as communication with patients regarding out of pocket amounts is required. Identification of accounts that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient. All of these practices done in a professional and communicative manner, per policies and procedures, guidelines, internal control measures and established goals.

Education, Training and Experience Requirements

• 1-2 years previous collections experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting.
• MUST be able to pass credit check.
• Prior to working with Advantx (Patient Accounting System).
• Ability to work independently. Excellent communication skills and interpersonal skills.
• Skilled in time management and prioritization of emergent situations.
• Good customer service skills, always demonstrates professionalism.
• Comfortable utilizing critical thinking skills.
• High School Diploma or equivalency.
• Proficient with Microsoft Office products.
• Experience with electronic patient information systems.
• Prior experience with Electronic Health Record system.

What We Offer

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Required Skills

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