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Become A Medical Collections Specialist

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Working As A Medical Collections Specialist

  • Getting Information
  • Interacting With Computers
  • Communicating with Supervisors, Peers, or Subordinates
  • Documenting/Recording Information
  • Communicating with Persons Outside Organization
  • Deal with People

  • Unpleasant/Angry People

  • Mostly Sitting

  • Repetitive

  • $33,280

    Average Salary

What Does A Medical Collections Specialist Do At Kelly Services

* Assisting with collection of payments due from the payer and/or patient, processing of transactions as well as reconcile and maintain various accounts and ledgers, collections, billing, vendor invoices, expense reimbursements, ledgers, statements, billings, and/or other accounting documents.
* You will also perform various clerical duties, i.e., make copies, file documents, etc.
* Additional Job Responsibilities Include:
* Identify billing errors for correction and resubmit via adjustment or new submission
* Review Medicare/Medicaid Remittance advise for payment errors, rejection and denials
* Initiate appeals
* Organize research and preparing appeals
* Correspond appeal denials done in a timely manner with pro-active follow-up on appeals in process
* Knowledge of billing criteria and guidelines
* Respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues.
* Follow up resolution and strong familiarity with billing software is a must
* Ability to troubleshoot and work through claim process
* Must have experience working denials, submitting appeals, and managing insurance and patient aging.
* Good foresight and problem solving skills
* Knowledge of HIPPA compliance
* Strong knowledge and implementation of appeals process
* Strong analysis of EOBs for collections experience

What Does A Medical Collections Specialist Do At Amerisourcebergen Corporation

* Collects and reviews all
* patient insurance benefit information, to the degree authorized by the SOP
* of the program.
* Provides assistance to physician office staff
* and patients to complete and submit all necessary insurance forms and
* program applications.
* Completes and submits all necessary insurance
* forms and electronic claims to process the claims in a timely manner as required
* by all third party payors.
* Researches and resolves any electronic claim
* denials.
* Researches and resolves any claim denials or
* underpayment of claims.
* Effectively utilizes various means for
* collections, including but not limited to phone, fax, mail, and online
* methods.
* Provides exceptional customer service to
* internal and external customers; resolves any customer requests in a
* timely and accurate manner; escalates complaints accordingly.
* Maintains frequent phone contact with provider
* representatives, third party customer service representatives, pharmacy
* staff, and case managers.
* Reports any reimbursement trends/delays to
* supervisor (e.g. billing denials, claim denials, pricing errors, payments,
* etc.).
* Processes any necessary insurance/patient
* correspondence.
* Provides all necessary documentation required
* to expedite payments.
* This includes demographic, authorization/referrals,
* National Provider Identification (NPI) number, and referring physicians.
* Coordinates with inter-departmental associates
* to obtain appropriate medical records as they relate to the reimbursement
* process.
* Maintains confidentiality in regards to
* patient account status and the financial affairs of clinic/corporation.
* Communicates effectively to payors and/or
* claims clearinghouse to ensure accurate and timely electronically filed
* claims.
* Works on problems of moderate scope where
* analysis of data requires a review of a variety of factors.
* Exercises
* judgment within defined standard operating procedures to determine
* appropriate action.
* Typically receives little instruction on
* day-to-day work, general instructions on new assignments.
* Performs related duties as assigned.
* Total Rewards
* Compensation for this position includes base salary plus bonus, depending
* on company financial results and individual performance.
* Our commitment to our associates includes
* offering benefit programs that are comprehensive, competitive and will meet the
* needs of our associates.
* Some
* of our benefits include:
* Healthcare for associates and their families, including eligible
* domestic partners Paid time off, including vacations and holidays Paid sick time off Paid volunteer time off Life insurance and disability protection Retirement benefits
* We take a balanced approach to the benefits we provide.
* Many benefits
* are company-paid, while others are available through associate
* contribution.
* Specific benefit offerings
* can vary by location

What Does A Medical Collections Specialist Do At HCA, Hospital Corporation of America

* Parallon’s 3rd Party Collectors work directly with patients to help resolve medical accounts by utilizing excellent customer service skills.  Our proven call models help Collectors to reach performance goals, achieve acceptable call quality scores and adhere to FDCPA & HIPAA regulations.
* DUTIES INCLUDE BUT ARE NOT LIMITED TO:
* Perform collections activity based on collection queue/production goals by making outbound and receiving inbound telephone calls from patients who owe medical bills.
* Follow all required FDCPA regulations and system procedures.
* Handle calls through an automated or manual dialing process.
* Maintain a working knowledge of client policies and procedures.
* Maintain acceptable call quality as determined Compliance, Legal, Quality and the Management staff.
* Assist the Unit Manager or Team Lead in working priority reports promptly, effectively, and efficiently and serve as a mentor to new employees by assisting with their training and development.
* Work an appropriate number of accounts each month as determined by Management and use appropriate account maintenance on each account worked, including entering notes which detail actions.
* Escalate patient complaint calls as necessary to appropriate leadership for resolution.
* Accept constructive criticism and listen to recorded calls in an effort to improve call quality and collection dollars.
* Achievement of daily/weekly/monthly collection fee goals.
* Strict adherence to HIPAA, FDCPA, HiTech and all state and federal regulations relating to account collections and patient privacy.
* Adheres to and supports organizational IT&S standards, policies, and procedures.
* Adheres to Code of Conduct.
* Performs other duties as assigned.
* KNOWLEDGE

What Does A Medical Collections Specialist Do At Respiratory Sleep Solutions Inc.

* Review open accounts for collection efforts Make outbound collection calls in a professional manner while keeping and improving customer relations Resolve client billing issues and rescue accounts receivable delinquency, while maintaining excellent customer service, in a timely manner Identify issues contributing to account delinquency Review and monitor assigned accounts and all applicable collection reports Provide timely follow-up on payment arrangements Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or appeals according to carrier guidelines.
* Follow-up on claim reviews and appeals with insurance carrier Scan and fax documents pertaining to patient accounts received from carrier Maintain updated accounts on Strategic AR Dashboard Perform other duties as

What Does A Medical Collections Specialist Do At Robert Half

Perform timely follow-up and collection functions to include telephone calls, meetings and on-line inquiries with insurance companies, Medicare, Medicaid, patients, charity organizations and other payors

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How To Become A Medical Collections Specialist

Collectors usually must have a high school diploma. A few months of on-the-job training is common.

Education

Most bill and account collectors are required to have a high school diploma, although some employers prefer applicants who have taken some college courses. Communication, accounting, and basic computer courses are examples of classes that are helpful for entering this occupation.

Training

Collectors usually get 1 to 3 months of on-the-job training after being hired. Training includes learning the company’s policies and computer software and learning the laws for debt collection in the Fair Debt Collection Practices Act, as well as their state’s debt-collection regulations. Collectors also may be trained in negotiation techniques.

Important Qualities

Listening skills. Collectors must pay attention to what debtors say when trying to negotiate a repayment plan. Learning the particular situation of the debtors and how they fell into debt can help collectors suggest solutions.

Negotiating skills. The main aspects of a collector’s job are reconciling the differences between two parties (the debtor and the creditor) and offering a solution that is acceptable to both parties.

Speaking skills. Collectors must be able to speak to debtors to explain their choices and ensure that they fully understand what is being said.

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Medical Collections Specialist jobs

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Medical Collections Specialist Demographics

Gender

  • Female

    81.4%
  • Male

    17.4%
  • Unknown

    1.2%

Ethnicity

  • White

    79.0%
  • Hispanic or Latino

    13.5%
  • Asian

    5.5%
  • Unknown

    1.5%
  • Black or African American

    0.4%
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Languages Spoken

  • Spanish

    50.0%
  • Chinese

    6.3%
  • Bosnian

    6.3%
  • Ladin

    6.3%
  • Armenian

    6.3%
  • Tagalog

    6.3%
  • Serbian

    6.3%
  • Hmong

    6.3%
  • Croatian

    6.3%
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Medical Collections Specialist

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Medical Collections Specialist Education

Medical Collections Specialist

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Top Skills for A Medical Collections Specialist

MajorInsuranceCompaniesCustomerServiceDepartmentsMedicalAccountsMedicaidMedicalCollectionsHipaaPaymentPlansHealthcareDelinquentAccountsAccountsReceivablesPaymentArrangementsAccountDocumentation/Correspondence/Follow-UpMedicalBillingEob/RemitInsuranceClaimsInsuranceCarriersPatientAccountsOutboundCallsFdcpaInsuranceInformation

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Top Medical Collections Specialist Skills

  1. Major Insurance Companies
  2. Customer Service Departments
  3. Medical Accounts
You can check out examples of real life uses of top skills on resumes here:
  • Managed delinquent medical accounts weekly.
  • Call Center environment, worked with patients, insurance companies and Medicare/Medicaid to secure payment on outstanding balances.
  • Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement Medical Collections Specialist.
  • Access many client systems for patient review, follow HIPAA laws, And procedures of confidentiality.
  • Evaluated financial hardships and payment plans for both commercial and personal accounts.

Top Medical Collections Specialist Employers

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