Credit Collection Specialist (Bilingual English/Spanish Required)

San Ysidro Health•San Diego, CA

2d•$25 - $31•Onsite

About The Position

The Collections Specialist is responsible for collecting self-pay balances on open accounts. This role involves reviewing and ensuring the accuracy and completeness of online accounts, promissory notes, or other signed documents by the guarantor before billing. The specialist will generate computer letters for patient balances, perform account analysis, and process requests for adjustments. They will also prepare forms for assigning accounts to collection agencies, follow up on unpaid and returned mail accounts, and report on the control of assigned accounts receivable. The position requires maintaining accounts receivable at or below goal, responding to telephone and email inquiries courteously and promptly, and potentially preparing computer reports for supervisors. Special projects, internal and external audits, and attending required meetings and training are also part of the role. Adherence to departmental policies, procedures, objectives, quality assurance, safety, and infection control standards is mandatory. Additional duties may be assigned by management.

Requirements

Must have a minimum of 2 years of prior medical and/or hospital Medicare/Medi-Cal claims billing experience
High School Diploma or GED equivalent
Bilingual (English/Spanish) required
Good oral and written communication skills
Provides positive customer service skills
Must have adequate verbal and written skills to explain statements to guarantors
Must possess adequate math skills to effectively work debits and credits
Must demonstrate good knowledge of Medicare and third-party rules & regulations
Knowledge and familiarity with CPT and ICD-10 coding and terminology
General office equipment to include PC and Software (Excel, Word, Office), phone, fax, etc.
Sedentary work requires sitting and use of the PC most of the day
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs.
Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Responsibilities

Reviews and insures the accuracy and the completeness of online accounts Promissory Notes or other signed documents by the guarantor to ensure accuracy and completeness prior to billing guarantor in an electronic work-list environment
Generates computer letters for all patient balances including co-pay and deductibles for self-pay
Performs accounts analysis at request of client including calculation of all disallowances or other allowances take on accounts that may have affected current guarantor’s balance due
Performs and completes request for adjustments required prior to billing
Prepares all forms and obtains all approval signatures required to assign accounts to the collections agency
Follows up on unpaid accounts as assigned
Follows up on Incorrect address/Returned mail as assigned
Responsible for demonstrating control of assigned accounts receivable through measurable improvement reporting
Must maintain accounts receivable at or below goal on a consistent basis
Responds to all telephone inquiries in a timely and courteous manner
Responds to all Billing email inquiries in a timely and courteous manner
May be required to prepare or generate and print computer reports for supervisor to review
May be called upon to perform special projects and participate in internal and external audits
Attends meeting and training classes as required by the department or management
Adheres to established departmental and facility policy and procedures, objectives, quality assurance program, safety and infection control standards
All duties as assigned by the Director of Revenue Cycle, Business Services Manager or Billing Supervisors