Healthcare Collections Specialist

Duties and Responsibilities

Primary Job Functions[1]:

Identifies delinquent accounts by aging period and payment sources in a timely manner

Investigates delinquent unpaid accounts by contacting patients, sending statements or letters, and/or verifying third-party payments

Answer patient questions on patient responsible portions, copays, deductibles, write-off's, etc.

Processes patient payments

Collaborates with the AR Follow-up Specialist on primary and/or secondary insurance activity

Verifies patient demographic and/or insurance information and edits as needed

Evaluates patient financial status and either establishes a payment plan with the patient, assigns uncollectible accounts to a collection agency, or makes recommendations to the Revenue Cycle Supervisor to adjust the balance

Provide necessary information to collection agencies

Records approved adjustments in the patient accounting system

Documents all correspondence in the patient accounting system

Maintains knowledge of specific payment plan and collection policies set by the company and the collection agency

Other duties as assigned.

Secondary Job Functions:

Attend meetings and training sessions

Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations

Adheres to all Federal, State, and Local laws and regulations as well as policies set forth by Ohio Gastroenterology Group Inc and its related parties

Knowledge, Skills and Abilities

Knowledge of third-party payers and interpreting explanation of benefits (EOB's)

Understanding of basic medical terminology and procedures

Proficient use of office equipment, such as copier and fax machine, phones, etc.

Knowledge of computers, data entry, e-mail, and the Internet

Strong attention to detail

Strong time management skills

Basic mathematical skills

Ability to process credit card transactions

Ability to work independently with minimal supervision

Exceptional written and verbal communication and interpersonal skills with a high degree of diplomacy and tact

Ability to effectively communicate with a variety of people under stressful circumstances

Neat appearance, professional demeanor and pleasant voice

Fluent in English

Credentials and Experience

Must have high school diploma or equivalent

One (1) year of experience as a collector

Experience with eClinicalWorks a plus

Physical Demands

Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).

Work Environment

Minimal medical office exposure that may require contact with adult patients

Office workstation environment with numerous employees

[1] Critical features of this job are described under this heading. They may be subject to change at any time due to reasonable accommodation or other reasons,

Equal Opportunity Employer

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