Job Overview:
Under the supervision of the Collections Manager, the Collection Specialist is responsible for administrative tasks and collection of outstanding account receivables and all other aspects of collections, analysis and resolution of billing problems.
Responsibilities and Duties:
- Utilize Zealie reports for collection calls
- Status any and all claims via insurance portal or by phone.
- Filter through all correspondence for each facility, enter information into billing log, save documents into drive
- Facility insurance correspondence, auditing of and billing errors
- Third Party Negotiations in order to maximize revenue
- Resolve insurance discrepancies and short payments
- Investigate errors which may include following up on missing patient account information, authorization issues, claim coding issues, and verify eligibility
- Enter all insurance payments received by ensuring data is correctly entered into the billing/collections software or spreadsheets. Any denied, unpaid claims, and/or underpaid dates of service will need to be resolved
- Document appropriate follow up notes on accounts and keep meticulous notes and spreadsheets as required
- Demonstrate customer service skills with the ability to effectively communicate with internal and external customers, and adequate computer skills to be proficient in daily job functions
- Maintains confidentiality of all pertinent patient care information to assure patient rights are protected
- May assist in other departmental duties including but not limited to verification of benefits, medical records, refund request
- Multi-task using all available resources
- Perform additional duties as requested by Supervisor or Management team
- Other duties may be assigned by the Manager
