Title : Collections Specialist
Reports to : Director of Revenue Cycle Management
FLSA Status : Non-Exempt
Personnel Supervised : None
POSITION SUMMARY :
- Must be able to Communicate clearly and concisely, orally and in writing while maintaining a high level of Confidentiality. Must have the ability to use the computer and ability to work independently to accomplish assigned work in a timely manner. Must be able to have communication with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations with an understanding and carrying manner. Must be comfortable requesting payment and making arrangements with patients regarding balances on their accounts.
MINIMAL QUALIFICATIONS :
Minimum of high school Diploma or GEDSome college or related vocational training preferredA minimum of 1year experience in medical collections.RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following :
Responsible for prompt and accurate submission and follow-up of all third- party claimsPost insurance payments, adjustments and denialsRe-Submit medical and dental claims for prompt payment thru the appeals process.Review, research and correct all claims on hold or denied due to insurance eligibility or billing errorsManage Electronic Remittances, upload EOB's reconcile patient accountsAnswer questions related to patient accountsWork closely with center leaders, center staff and insurance companies to resolve insurance and claim holds.Follow up on patients with balances due, initiate collecting balances, payments arrangements or resolve to collections.Work Collection worklist, Payment plan report, and Collections adjustments.Report monthly status updates to RCDEnsure that accounts are transferred to the appropriate responsible party for reimbursement (insurance, secondary payer or patient)Maintains trending of claim denials reasons to assist with training and education to staffSubmit additional paper work, documentation necessary to re submit claims for paymentNotify patient of non-sufficient funds, electronic take backs, and defaults on payment agreements.Assist with reports related to trends and accounts receivable for managementHave the ability to recognize when a complaint needs to be escalated to the RCDOther related duties as assigned by your supervisorCommunicating clearly and concisely, orally and in writingConfidentialityAbility to use the computerAbility to work independently to accomplish assigned work in a timely mannerAbility to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situationsUnderstanding and carrying out verbal and written directionsFollow CFHC policies and proceduresWorks independently in the absence of supervisionBENEFITS : Competitive Salary
Federal Student Loan Forgiveness :
PSLF - 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) - 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w / matching contributions)
Staff productivity is recognized and rewarded
PHYSICAL REQUIREMENTS :
Works under pressure and stress due to the diversity of our clinicsWork is performed indoors in a heated, air conditioned, well lighted and clean office settingRequires frequent lifting up to 20 pounds, and infrequent lifting up to 50 poundsRequires ability to distinguish letters, numbers and symbolsRequires normal range of visionRequires awareness of personal limitations and flexibilitySome emotional stress resulting from diversity and intensity of patients and staffRequires prolonged standing or sittingOccasional travel requiredAmerican with Disabilities Act (ADA) Statement : External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
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