Collections Specialist CBO

HCA Healthcare•Jacksonville, FL

About The Position

The Collections Specialist completes follow-up and collections for patient services, obtaining payment from third-party payers and self-pay accounts to enhance cash flow and secure reimbursement under established contracts. The role works under the supervision of the Business Office Manager or Business Office Supervisor and supports the organization’s mission, vision, and values. The specialist manages assigned accounts receivable, resolves unpaid or disputed accounts, addresses issues affecting claims and reimbursement, and maintains accurate account documentation. The position also monitors aging accounts and collection activity, prepares weekly A/R and collection reports for leadership, and helps maintain A/R days and bad debt within organizational goals.

Requirements

A minimum of one year of experience in a medical office setting is highly preferred; examples include an ambulatory surgery center, hospital, or doctor's office.
Knowledge of managed care payers and medical terminology is preferred.

Nice To Haves

Experience in a medical office setting, such as an ambulatory surgery center, hospital, or doctor's office.
Knowledge of managed care payers and medical terminology.

Responsibilities

Manage assigned accounts receivable to drive timely payment, reduce outstanding balances, and minimize bad debt.
Perform timely follow-up on insurance and self-pay accounts to resolve outstanding balances and secure reimbursement.
Contact insurance carriers, patients, and other responsible parties to resolve unpaid and disputed accounts.
Identify and resolve billing, coding, EOB, and claim issues that delay payment.
Follow up on insurance denials and coordinate with coders and physicians to obtain reimbursement.
Negotiate self-pay payment arrangements in accordance with established policies and guidelines.
Monitor aging accounts and initiate appropriate collection actions, including referring qualifying accounts to outside collection agencies.
Reconcile accounts placed with outside collection agencies and monitor collection activity.
Document collection activity accurately and update patient accounts and AdvantX as required.
Serve as a liaison for third-party payer accounts, including Medicare and Medicaid, and address issues affecting reimbursement.
Identify and escalate contractual or payer issues that may affect collections.
Prepare and provide weekly collection and A/R reports to leadership.
Maintain A/R days and bad debt within established organizational goals.
Follow established collection best practices and timelines for initial and ongoing account follow-up.
Perform other duties as assigned based on operational needs.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
Free counseling and referral services.
Paid time off and paid family leave.
Long- and short-term disability coverage and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan and flexible spending accounts.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.