Collections Specialist

Central Florida Health Care•Winter Haven, FL

About The Position

Must be able to Communicate clearly and concisely, orally and in writing while maintaining a high level of Confidentiality. Must have the ability to use the computer and ability to work independently to accomplish assigned work in a timely manner. Must be able to have communication with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations with an understanding and carrying manner. Must be comfortable requesting payment and making arrangements with patients regarding balances on their accounts.

Requirements

Minimum of high school Diploma or GED
A minimum of 1year experience in medical collections.

Nice To Haves

Some college or related vocational training preferred

Responsibilities

Responsible for prompt and accurate submission and follow-up of all third- party claims
Post insurance payments, adjustments and denials
Re-Submit medical and dental claims for prompt payment thru the appeals process.
Review, research and correct all claims on hold or denied due to insurance eligibility or billing errors
Manage Electronic Remittances, upload EOB’s reconcile patient accounts
Answer questions related to patient accounts
Work closely with center leaders, center staff and insurance companies to resolve insurance and claim holds.
Follow up on patients with balances due, initiate collecting balances, payments arrangements or resolve to collections.
Work Collection worklist, Payment plan report, and Collections adjustments.
Report monthly status updates to RCD
Ensure that accounts are transferred to the appropriate responsible party for reimbursement (insurance, secondary payer or patient)
Maintains trending of claim denials reasons to assist with training and education to staff
Submit additional paper work, documentation necessary to re submit claims for payment
Notify patient of non-sufficient funds, electronic take backs, and defaults on payment agreements.
Assist with reports related to trends and accounts receivable for management
Have the ability to recognize when a complaint needs to be escalated to the RCD
Other related duties as assigned by your supervisor
Communicating clearly and concisely, orally and in writing
Confidentiality
Ability to use the computer
Ability to work independently to accomplish assigned work in a timely manner
Ability to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations
Understanding and carrying out verbal and written directions
Follow CFHC policies and procedures
Works independently in the absence of supervision

Benefits

Competitive Salary
Federal Student Loan Forgiveness: PSLF – 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) – 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)
Staff productivity is recognized and rewarded