Medical Collections Specialist

Responsibilities

• Identify and prioritize outstanding balances based on aging buckets assigned for collections
• Research and resolve open invoices and credits by utilizing company software and tools
• Recognize and communicate trends in problematic accounts related to payers or specific patient accounts to management
• Work all monthly-predetermined balances through adjudication and resolution for the patient portion
• Document all efforts to resolve balances utilizing designated software and reports
• Build and maintain effective relationships with team members and representatives of commercial and state payers relevant to your open balances
• Review patient statement count, utilize collection letters, and or additional efforts as needed related to software, and documentation to patient account for collection
• Promptly reply to inquiries made by employees regarding your assignments
• Handle incoming inquiries by phone, email, or task from patients and/or practice staff regarding patient balances due
• Research accounts as needed to ensure balances are correct
• Obtain, enter, and bill insurance payers as needed with information supplied during interactions with patients and/or practice staff
• Research accounts with credit balances; initiate refund requests for accurate credit balances per company guidelines
• Review statement reports for accuracy of balances and identifies accounts needing escalated collection action

Qualifications

• A high school diploma is required
• An undergraduate degree is preferred
• Revenue cycle/cash posting experience is preferred
• Customer service experience is required
• Experience in NextGen is preferred
• Analytical problem-solving skills are required
• A strong attention to detail is required
• The ability to read and understand an EOB (ex. allowable, disallowable) is required
• Effectively manage multiple priorities is required
• Proficient computer skills including experience with Microsoft Excel and the internet are required
• Effective communication with peers, managers, and all individuals affiliated with the company is required
• The ability to work well in a team environment is required