General Purpose
The Collections Specialist supports the Billing Supervisor to ensure patient procedures, and payments have been authorized by the insurance carrier, and to ensure timely payment collection from patients and insurance companies.
Essential Duties/Responsibilities
- Request authorizations from insurance companies
- Work insurance aged receivable report
- Work patient aged receivable report
- Obtain, review, and input insurance authorizations and referrals prior to patient services
- Follow proper medical and insurance claims processes
- Review and verify medical bills and invoices with accounts receivable ledger and patients
- Interprets eligibility responses from insurance companies
- Work denied claims
- Perform basic customer service for routine patient or other inquires
Other Duties/Responsibilities
- Assists patients with account and payment questions
- Attends team and staff meetings
- Performs other duties as assigned.
Knowledge, Skills, and Ability:
- Knowledge of general ledger accounting principles
- General knowledge of insurance companies and agreements with health providers
- Ability to use accounting software
- Ability to pay attention to detail
- Ability to use internet, email, MS Office and other job-related software products
- Ability to communicate effectively in writing and orally
- Possesses good customer services skill
- Ability to work in a focused manner with potential surrounding distractions
- Ability to work with minimum supervision
- Demonstrates reliability and self-motivation
- Ability to be a team player
Education or Formal Training:
- High School Diploma Required
Experience:
- Prior experience with medical and insurance industry preferred
Working Environment:
- This job operates in a fast paced, professional office environment and routinely required the use of standard office equipment such as computers, phones, and photocopiers. Most of the offices are open and modular in layout. Work may involve moderate exposure to ambient or loud noises. In the health center environment, there is potential for contact with blood-borne pathogens and communicable diseases, as well as potential for contact with dissatisfied or abusive individuals.
- There could be interaction with persons who are mentally ill, disabled, elderly and emotionally upset.
Physical Activities:
- These are representative of those which must be met to successfully perform the essential functions of this job.
- This is a largely sedentary role but can involve standing or sitting for extended periods of time, bending at the waist, and using hands and fingers to handle and file papers or operate assigned equipment. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Employee may also have to lift 10 to 25 lbs. unassisted.
Other Conditions of Employment:
- Willingness to submit to mandatory random drug screening
- Willingness to accept temporary assignments and ability to drive to and from other office locations.
- Reimbursement for mileage will be made at the current IRS rates.
Placement: Contract to Direct
Schedule: Monday to Friday 7am to 4pm; 1 hour lunch
Pay: $18 to $21
Location: 80909
Drug Screen: Yes, includes THC
