Collection Specialist

O'Mally Management Group•Houston, TX

7h•Remote

About The Position

The Collections Specialist position plays a critical part in the medical billing process. Under the supervision of the Facility Collections Director, the Collections Specialist is responsible for the timely collection of unpaid claims including appeal denials, collections of underpayments, and documenting all collection activities in the billing system. The Collections Specialist will meet or exceed the daily and monthly productivity and performance goals set forth by the Collections Director. Additionally, the Collections specialist will have excellent customer service skills and have the ability to communicate effectively both written and verbally.

Requirements

Excellent communication skillset; both written and verbal
Must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD‐9/ ICD‐10, and CPT/HCPCS codes
Must be able to type 60 wpm and be able to use 10‐key by touch
Must have an in‐depth understanding of the Explanation of Benefits (EOBs) with at least one year of prior medical collections experience in a Medical office, Central Business Office, or a Hospital Business Office etting
Detailed working knowledge and a demonstrated proficiency in at least one insurance company’s billing and/or collection process
Experience with Patient Accounting systems (s) as well as having the ability to research medical coding
Representing clients in a professional manner at all times ensuring customer satisfaction is a priority
High School Diploma or GED – required
2 years of experience in a high‐paced, collections environment – minimum
Strong math skills – required

Responsibilities

Initiating collection follow‐ups of all unpaid or denied claims with the appropriate Payer
Researching, appealing, and resolving claim rejections, underpayments, and denials with appropriate Payer
Responding to written Payer communications as indicated with appropriate action in a timely manner
Processing claims and appeals by gathering information for appeals
Requesting insurance changes through the billing system as required during the collections process
Communicating payment or denial patterns that impact revenue to management in a timely manner
Maintaining communication and documenting daily in the billing system all follow up and communication on a patient account in a consistent and concise format
Developing and maintaining positive working relationships with team members and Payer representatives
Maintaining the strictest patient confidentiality