Collections Specialist

Surgery Partners Bryan , TX 77801

Posted 5 days ago

Job Summary:

Under the supervision of the Director Business Operations, is responsible for assuring that duties are accurately performed in completion of, but not limited to, the following areas as assigned: registration and pre-registration of all categories of patients, prepare consent forms appropriately for each procedure; ensure that copies of appropriate documentation are obtained to facilitate the billing and collections processes; give estimates of charges; ensure that co-payments and payments on patients accounts are explained, obtained and processed accurately; complete daily batching of patient payments collected (check, cash or credit card); ensure that all information entered into the automated admitting/registration system is accurate and complete; prepare medical records for all first-time patients and update medical records for return patients as needed; use of the Meditech, or other automated billing systems; post payments; adjustments, rebilling, refunds and write-offs on accounts; account follow-up on all types of payers; receive and deal with patient calls; resolve problem accounts as required; manage correspondence; file as necessary; verify payments to contracted rates; achieve departmental goals regarding collections. Work with medical records clerks, biller and adjudicator, scheduler and registration personnel to maintain accurate records to facilitate valid reports regarding billing and collections. Perform all other duties as assigned. Uphold business office philosophy and objectives while adhering to federal and state guidelines including CMS, Medicare, and OIG requirements. Projects a professional demeanor and appearance while maintaining the confidentiality of patients, and coworkers. Maintain good communications with other staff and internal and external customers, such as keeping the Director of Business Operations advised of any problems. Work under stress and in situations that demand patience and tact while providing impeccable service.

Physical Requirements:

May be expected to lift up to 25 pounds or up to 50 pounds with assistance. May be expected to push or pull 500 pounds with assistance. Work is of light demand; sitting or walking most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required: optimal auditory acuity required; manual dexterity involving the handling of equipment and computers is essential to performing assigned duties. Constant use of keyboard on systems. Eye strain from system use. Physical conditions are clean, neat and well-lit. May be subjected to stressful situations and a fast pace environment. Climate control and ambient temperature variances may be experienced associated with a normal office environment. Hours of duty may be irregular or unexpectedly extended due to the requirements of the billing office.

OSHA Exposure Classification:

Job Category III. Tasks/activities do not entail predictable or unpredictable exposure to blood or other body fluids to which universal precautions apply.

Qualifications, Knowledge and Ability:

  • Demonstrates eligibility for employment in the United States

  • High School diploma or equivalent

  • Demonstrates skills in verbal and written English, bilingual preferred.

  • Demonstrates willingness to participate in goal-setting and educational activities for own growth and advancements.

  • Demonstrates experience in a medical business office, medical records, and accounts receivable preferred.

  • Demonstrates computer skills in utilizing required software and computer systems

  • Demonstrates ability to utilize and understand mathematical calculations.

  • Demonstrates ability to use office machines and telephone systems.

  • Demonstrates knowledge of medical terminology, customer service and telephone etiquette preferred.

  • 2 years experience as in a business office for a hospital is preferable.

  • Knowledge of healthcare related pay or practices such as insurance contracts, coding, and verifying preferable.

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Collections Specialist

Surgery Partners