Medical collections specialist vs collections, customer service

Differences between medical collections specialist and collections, customer service duties and responsibilities

Medical collections specialist example responsibilities.

• Manage accounts for healthcare clients, review detailed patient information for payment resolution while abiding HIPPA privacy and security regulations.
• Job duties include collecting on HMO, PPO, Medicare, and HMO Medicaid.
• Work directly with Medicare and HMO Medicaid plans, and statewide HMO/PPO/POS plans.
• Reprocess denied medical claims using extensive appeal tactics or special appeals processing instructions for commercial and government carriers.
• Adhere to all HIPAA guidelines as well as various policies and guidelines.
• Provide itemized billing statements and screen HIPAA authorization forms for hundreds of legal firms.
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Collections, customer service example responsibilities.

• Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
• Provide excellent verbal, written, oral communication skills, attend ongoing training of collections and FDCPA regulations and guidelines.
• Provide excellent interpersonal, negotiation, and customer service skills via telephone.
• Research accounts to verify credits and debits make are accurately post against supporting documents showing timely reflect within the FDCPA guidelines.
• Prevent impending loss and increase profitability through negotiation and enforcement of schedule collection campaigns.
• Submit additional information request by insurance companies such as medical records, primary/secondary insurance explanation of benefits (EOB).
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