Claims account specialist vs collector

Differences between claims account specialist and collector duties and responsibilities

Claims account specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information
• Review HMO insurance vouchers and resubmitted if necessary.
• Utilize excellent communication and negotiation skills to resolve credit card delinquency favorable to company and card member.

Collector example responsibilities.

• Manage patient focuse reports, collection modules, provider/facility A/R, collections, patient discharge letters.
• Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
• Prevent impeding loss and increasing profitability through negotiation and enforcement of schedule collection campaigns, consistently achieving high success standards.
• Provide customer service via telephone and correspondence for patients and authorize representatives regarding outstanding patient accounts in accordance with facility protocol.
• Verify and run eligibility on the following insurance, Medi-Cal, Medi-Cal HMO, Medicare, Medicare HMO.
• Provide excellent customer service while following HIPPA confidentiality laws.
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