Collection Specialist

Dignity Health Medical Group • Phoenix, AZ

21h • $19 - $24

About The Position

As a Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization. Every day you will expertly communicate with clients to resolve outstanding balances, meticulously document interactions, negotiate payment arrangements, and diligently follow established protocols to ensure timely and effective collection efforts. To be successful, you will demonstrate outstanding communication skills, strong negotiation abilities, and a persistent, empathetic demeanor, contributing to positive client relationships and efficient revenue recovery.

Requirements

• High School Diploma / GED
• Three (3) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/ reimbursement/appeals experience.)
• AHCCCS/ Medicare/government Commercial payer experience.
• HCFA 1500 billing experience.
• Knowledge of insurance plan intricacies.
• Current knowledge of CPT/HCPC and revenue codes.
• Previous experience with computerized billing system MS Word and Excel.
• Typing speed of 65 wpm and 225 kpm (10 key).
• Knowledge of collection guidelines and regulations.
• Excellent problem solving and communication skills.
• Ability to effectively interact with internal and external customers.
• Ability to prioritize tasks and read and interpret complex contract language.
• Effective verbal and written communication skills.
• Proficient in the use of office equipment; e.g. telephone system computer fax machine copier printer.

Nice To Haves

• Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.)
• College level business courses helpful.
• Two years relevant college education plus experience.
• Bilingual in Spanish preferred.

Responsibilities

• Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
• Maintains knowledge of payer guidelines for both government and commercial payers including detailed knowledge of billing/collection requirements and contract/reimbursement language.
• Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that address the needs of internal/external customers.
• Maintains average QA percentage at a rate established for the Fiscal Year goal.
• Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views. Maintain productivity percentage at a rate established for the Fiscal Year goal.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED