Collections Specialist

Advantia is seeking a Collections Specialist to join our team! As a Collections Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, collections and billing procedures. This role will report to the RCM Patient Support and Collections Manager.

Job Responsibilities :

• Review claims with outstanding balances and identify actions to collect revenues successfully. Follow up with patients to collect outstanding balances in an environment that builds enduring customer and business relationships.
• Review documents received, including Explanations of Benefits (EOBs), Remittance advice (RAs), and other documents indicating denials or claims acceptance to confirm accuracy of patient responsibility.
• Analyze denials, identify trends, and recommend process improvement opportunities that will result in reduction of Aging Days, superior collection rate, and reduced bad debt.
• Document case activity, communications, and correspondence in Athena to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues. Schedule follow-ups in required intervals.
• Investigate and verify benefits for accuracy of debt.
• Communicate billing problems found during the collection process to avoid the same issues in the future.
• Communicate financial obligation information with patients so that they clearly understand all costs of medical services.
• Perform other related duties as assigned.

Job Requirements :

Please note : Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.

Advantia Health is an Equal Opportunity Employer that is committed to global diversity : It is a place where good people want to work, and customers want to continue to engage EOE M / F / D / V.