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Collections Specialist

Collections Specialist

Central Florida Health CareWinter Haven, FL, United States
19 hours ago
Job type
  • Full-time
Job description

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 GED
  • Some college or related vocational training preferred
  • A 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 claims
  • Post insurance payments, adjustments and denials
  • Re-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 errors
  • Manage Electronic Remittances, upload EOB's reconcile patient accounts
  • Answer questions related to patient accounts
  • Work 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 RCD
  • Ensure 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 staff
  • Submit additional paper work, documentation necessary to re submit claims for payment
  • Notify patient of non-sufficient funds, electronic take backs, and defaults on payment agreements.
  • Assist with reports related to trends and accounts receivable for management
  • Have the ability to recognize when a complaint needs to be escalated to the RCD
  • Other related duties as assigned by your supervisor
  • Communicating clearly and concisely, orally and in writing
  • Confidentiality
  • Ability to use the computer
  • Ability to work independently to accomplish assigned work in a timely manner
  • Ability to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations
  • Understanding and carrying out verbal and written directions
  • Follow CFHC policies and procedures
  • Works independently in the absence of supervision
  • BENEFITS : 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 clinics
  • Work is performed indoors in a heated, air conditioned, well lighted and clean office setting
  • Requires frequent lifting up to 20 pounds, and infrequent lifting up to 50 pounds
  • Requires ability to distinguish letters, numbers and symbols
  • Requires normal range of vision
  • Requires awareness of personal limitations and flexibility
  • Some emotional stress resulting from diversity and intensity of patients and staff
  • Requires prolonged standing or sitting
  • Occasional travel required
  • American 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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    Collection Specialist • Winter Haven, FL, United States

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