Collections Specialist

Position Summary

The Collections Specialist is responsible for reviewing and resolution of outstanding insurance balances on hospital or physician patient accounts. The Collections Specialist will be required to have flexibility to learn and comprehend complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Collections Specialist will be responsible for ensuring cash recovery goals are met and assigned receivables are appropriately addressed according to company, client and federal guidelines. Maintains statements and pre bad debt review of all self-pay accounts. Reviews accounts over 90 days old and makes collection attempts on debt before sending accounts to Collection Agency.

Essential Duties & Responsibilities

Responsible for general office duties including but not limited to; filing, scanning, printing, data entry in support of all the other insurance specialists.

1. Achieve assigned goals (resolutions, account review quality, productivity standards – specified by line of business)
2. Working knowledge of hospital systems, internal systems, and Microsoft Office
3. Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short time frame.
4. Ability to understand directive given orally and written.
5. Ability to prioritize _ ob responsibilities and manage time for timely completion of assignments.
6. Accurately perform tasks with a high level of attention to detail
7. Proficiency with company telephone system while placing outbound calls and accepting inbound calls.

Perform account research and route accounts through appropriate client workflows. Completes timely follow-up on assigned accounts.

1. Perform account research and document findings in detailed manner.
2. Prepares and makes appropriate requests for adjustment, billing, or appropriate review according to workflow or job aid directive.
3. Communicate effectively with self-pay patient for payment.
4. Understanding of the next steps needed to reach a resolution of self-pay balance. e. Ensure strong communication skills to convey intricate account information.

Ensure all accounts are worked within client standards and Federal Regulations. Maintain high quality account handling per client standards.

1. Work within federal, state regulations, department/division & all Compliance Policies.
2. Maintain clear, concise and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications

Maintain continuing education, training in industry career development.

Maintain current knowledge of and comply with all federal and state rules and regulations governing collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.

1. Attend training sessions as directed by management.
2. Integrate information obtained through training sessions and policy changes immediately into daily routine.

Education Required: High School Diploma or equivalent

Experience Preferred: Two years working in a hospital admissions or billing setting.