Account resolution specialist vs collections specialist

Differences between account resolution specialist and collections specialist duties and responsibilities

Account resolution specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Research and resolve complex customer accounts while adhering to department policies and procedures, as well as FDCPA guidelines.
• Resolve outstanding patient accounts by an integrate team dynamic with office administrators, insurance companies and patients.
• Insure office practices are in compliance with HIPAA regulations.
• Review and correction of diagnosis codes, CPT codes and modifiers.
• Advise clients/debtors of necessary actions and strategies for debt repayment while using FDCPA and other government regulations.
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Collections specialist example responsibilities.

• Manage university A/R processes and enforce tuition payment policy.
• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Review denied Medicare and Maine Medicaid insurance claims for accuracy.
• Analyze hospital insurance claims of individual patients for errors and contact major insurance carriers for claims dispute resolution.
• Analyze accounts for patients ineligible for private insurance, Medicare or Medicaid and indicating inability to pay balance.
• Possess effective persuasion and negotiation skills, excellent interpersonal and communications skills with the ability to deliver quality customer service.
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