COLLECTOR/COLLECTIONS REP
About The Position
The Collections Specialist is responsible for making outgoing call to IPM guarantors to collect self-pay balances for professional services provided. Audits accounts for accuracy to ensure that past due balances are patient responsibility. Triages calls in an efficient manner if insurance responsibility is identified. Answers guarantor inquiries regarding charges, insurance, and explanation of benefits (EOBs). Collects and posts payments to the Practice Management System (PMS). Establishes payment plans adhering to Central Billing Operations (CBO) policy (threshold/terms, propensity to pay scores, promissory notes) and timely follow-up to maximize collections and optimize collection return on investment (ROI). Meets or exceeds established performance targets (productivity and quality) established by the Customer Service and Patient Collections Manager.
Requirements
- High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
- Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
- Minimum 2 years medical collections experience.
- Healthcare (professional) billing; knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes.
- Patient collections; state and federal regulations regarding compliance, patient privacy and ethical billing, collection practices (including payment plans) and self-payment processing.
- Excellent organization skills, attention to detail, research and problem solving ability.
- Results oriented with a proven track record of accomplishing tasks within a high-performing team environment.
- Service-oriented/customer-centric.
- Strong computer literacy skills including proficiency in Microsoft Office.
Nice To Haves
- Technical School/2 Years College/Associates Degree preferred.
- Understanding of the revenue cycle and how the various components work together preferred.
Responsibilities
- making outgoing call to IPM guarantors to collect self-pay balances for professional services provided
- Audits accounts for accuracy to ensure that past due balances are patient responsibility
- Triages calls in an efficient manner if insurance responsibility is identified
- Answers guarantor inquiries regarding charges, insurance, and explanation of benefits (EOBs)
- Collects and posts payments to the Practice Management System (PMS)
- Establishes payment plans adhering to Central Billing Operations (CBO) policy (threshold/terms, propensity to pay scores, promissory notes) and timely follow-up to maximize collections and optimize collection return on investment (ROI)
- Meets or exceeds established performance targets (productivity and quality) established by the Customer Service and Patient Collections Manager
Benefits
- Retention Bonus Program if offered.
- Loan Forgiveness Program if offered.
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision, and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
