Senior collection specialist vs collections/accounts receivable

Differences between senior collection specialist and collections/accounts receivable duties and responsibilities

Senior collection specialist example responsibilities.

• Manage re-billings for third party accounts including: commercial carriers, manage care, PPO, POS and HMO organizations.
• Work comp, MV cases, Medicare, Medicaid and commercial insurances.
• Follow Medicare guidelines, posses knowledge of ICD and CPT coding, medical and reimbursement terminology, third party billing
• Cross train fellow agents in store support and online product matrix, and train incoming agents in software and FDCPA guidelines.
• Participate in the Medicaid conversion project.
• Verify correct consumer provide disclosure to ensure compliance with FDCPA regulations.
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Collections/accounts receivable example responsibilities.

• Plan and conduct sensitive HUMINT collection operations with an emphasis on managing and debriefing confidential sources.
• Work accounts receivable for Medicaid verification and payments.
• Work remittance advice from Medicaid ensuring accuracy of payments.
• Research and obtain extensive knowledge of FDCPA debt recovery laws and assist in recovering commercial debt from organizations.
• Communicate effectively with patients, physicians, hospital staff, and insurance representatives to ensure accuracy in claims processing.
• Review claims to determine if process correctly and if necessary, direct patients to contact insurance companies regarding additional benefit questions.
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