Claims collector vs collections specialist

Differences between claims collector and collections specialist duties and responsibilities

Claims collector example responsibilities.

• Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
• Operate under HIPPA guidelines for all collection activities.
• Maintain strict confidentiality and adhere to HIPPA policies.
• Maintain high- standards of confidentiality per HIPAA guidelines.
• Review and resubmits denials from Medicaid, Medicare and private health insurance.
• Research and resolve denials and EOB rejections within standard billing cycle timeframe.
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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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