Job Summary
The Collections Specialist monitors insurance claims by working the work queues and contacting insurance companies to resolve insurance claims that are not paid in a timely manner.
Essential Functions of the Role:
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Perform collections activity based on collection queue/production goals
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Perform all required FDCPA regulations and system procedures
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Maintain a working knowledge of client policies and procedures
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Maintain acceptable call quality as determined by Management staff
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Assist supervisor in working priority reports promptly, effectively, and efficiently
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Close out an appropriate number of accounts each month as determined by Management
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Update the patient account record to identify actions taken on the account
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Sort and file correspondence
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Communicates clearly and concisely, verbally and in writing
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Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
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Able to work effectively with other employees, patients, and external parties
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Demonstrates knowledge and understanding of organizational policies, procedures and systems
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Exhibits knowledge of payer contracts
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Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job
Desired Experience:
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Minimum of 1-2 years of patient experience or customer service experience preferred
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Demonstrated knowledge of Medicare, Medicaid, and all other third-party regulations and payer portals, required
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Medical terminology, knowledge of insurance and reimbursement procedures preferred
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Knowledge of third-party claim filing, contract reimbursement, and other insurance guidelines
Education:
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High school diploma or GED required