Collections Specialist

Position Summary

Under the direction of the Billing Manager, this position is responsible for the timely collection and tracking of the MID program and Outpatient Behavioral Health Clinic client copays and outstanding balances. This position will work collaboratively with all clinic staff and with system wide administration. Requires ability to maintain billing software, record payments, and communicate effectively with providers and clients.

Essential Position Functions

·         Prepare and submit accurate and complete billing of accounts.

·         Follow up and investigate unpaid patient balances by establishing payment arrangements and monitoring and pursuing delinquent accounts.

·         Manage communication with all customers to ensure payments and evaluate all expire accounts and maintain accurate records for same.

·         Maintain relationships and contact all customers through telephone calls and if required with notices and provide all updates for customers and manage all portfolio for clients.

·         Coordinate with all team members to resolve all cash application issues and identify root causes for nonpayment.

·         Manage all communication for all overdue accounts and investigate all customer complaints and resolve all issues.

·         Evaluate and resolve all credit hold issues and monitor all accounts for billing details.

·         Collaborate with Billing Manger and initiate debt write off and negotiate all settlements with all collection procedures.

·          Perform research on all accounts and document all explanations of benefits.

·         Ensure compliance with all federal and local regulations for collection process.

·         Perform other duties as assigned by supervisor.

Requirements

Qualifications

High school diploma and 2 years’ experience in collections. Candidate must have outstanding organizational, communication and interpersonal skills. Candidate must be highly skilled in negotiation and have in-depth knowledge of the laws and policies related to debt collection.  Proficiency in Excel a must.

Special Knowledge, Skills and Abilities

·         Proficiency with electronic medical records (EMR)

·         Ability to utilize monthly aging account receivable reports to follow up on unpaid accounts aged over 30 days.

·         Respond to inquiries from payers, providers and patients in a timely fashion.

·         Skilled in computer keyboarding, insurance carrier websites and use of spreadsheet applications.

·         Knowledge of medical office management functions and procedures.

·         Knowledge of diagnostic and procedure coding, medical record documentation practices, medical insurance billing practices, managed care relationships between payers and providers, computerized medical office systems applications, customer relations principles, and general accepted safety practices.

·         Ability to work collaboratively with clinic care providers.

·         Ability to establish and maintain harmonious and cooperative working relationships with others and demonstrate empathetic, respectful and positive customer relations behavior.

·         Ability to manage multiple priorities simultaneously and maintain composure in stressful situations.

·         Ability to envision desired outcomes and apply systematic actions to achieve expected results.

·         Ability to work independently, exercise good judgement and accept personal responsibility.