Collection Specialist (On-site)

General Summary: This position is primarily responsible for performing a variety of duties with the goal of maximizing cash flow and minimizing outstanding receivables and interacting with patients and insurances to secure payment on patient accounts Supervisory Responsibilities: This position has no supervisor responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Collects balance owing from third party payers in accordance with state and federal laws governing collection practices. Processes correspondence and denials from the Insurance Carrier. Posts contractual adjustments as needed. Posts write off adjustments after approval from the Director - Business Office. Processes payments by credit card. Answers calls and correspondence received by patients. Requests additional information within the organization such as medical records, explanation of benefits, etc. to appeal claims that have been denied. Responsible for Work Aged Accounts Receivable Report. Processes refunds as needed. Verifies insurance eligibility when needed. Review commercial contract reimbursement guidelines for proper claim adjudication. Ensure daily productivity standards are met in accordance to documented procedures. Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers. Able to work efficiently under pressure. Maintain strict confidentiality. Other duties as assigned. Essential Job Responsibilities: Will be reviewing accounts for accuracy and reviewing future appointment to collect balances owed Taking and making outbound calls to patients owing balances Collects balance owing from third party payers in accordance with state and federal laws governing collection practices. Processes correspondence and denials from the Insurance Carrier. Posts contractual adjustments as needed. Posts write off adjustments after approval from the Director - Business Office. Processes payments by credit card. Answers calls and correspondence received by patients. Requests additional information within the organization such as medical records, explanation of benefits, etc. to appeal claims that have been denied. Responsible for Work Aged Accounts Receivable Report. Processes refunds as needed. Verifies insurance eligibility when needed. Review commercial contract reimbursement guidelines for proper claim adjudication. Ensure daily productivity standards are met in accordance to documented procedures. Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers. Able to work efficiently under pressure. Maintain strict confidentiality. Other duties as assigned.