Medical Collection Specialist

Overview

Job Summary:

This position is responsible for ensuring the timely collections of patient receivables and insurance companies.

• Makes follow-up phone calls on accounts with outstanding balance.
• Maintains standards to ensure systematic, consistent and timely collection follow-up.
• Follow-up on accounts with outstanding balances that do not have appropriate payment arrangements.
• The Aged Trial Balance report will be printed every other week and every outstanding account should be worked.
• All notes regarding written and/or verbal communication on the account will be maintained in the “MEMO” file on the patient’s account.
• Prior to sending accounts to a collection agency for follow-up, dates for all patient statements should be documented in the “MEMO” file. (refer to the batch statement record to obtain statement billing dates)
• Insurance Due Accounts should have the initial follow-up call made 30 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid. Insurance Due balances not paid within 90 days from date of service will be transferred to patient due and billed to the patient.
• Work all denial queues and correspondence within 14 days.
• Identify any underpayments and dispute with appropriate steps and monitor billing errors, and timely rebilling.
• Maintain knowledge of payers medical policies, pre-certification list, non-covered items and CPT codes.
• Maintain aging A/R percentage of under 25% of 60 days and 9% of 120 days.
• All other duties assigned.

• High school diploma or equivalent
• Two-years healthcare collection experience.
• Proficient in MS Office applications which include Outlook, Word, Excel, and PowerPoint.
• Good communication skills over the phone and through writing.