Credit Collection Specialist (Bilingual English/Spanish Required)

San Ysidro Health•San Diego, CA

1d•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 prepare necessary adjustments and forms for collection agencies. They will follow up on unpaid accounts and returned mail, manage assigned accounts receivable to meet goals, and respond to telephone and email inquiries courteously and promptly. The position may also involve preparing reports, participating in special projects and audits, and attending required meetings and training. Adherence to departmental policies, procedures, quality assurance, safety, and infection control standards is essential. Additional duties may be assigned by management.

Requirements

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.
Adequate verbal and written skills to explain statements to guarantors.
Adequate math skills to effectively work debits and credits.
Good knowledge of Medicare and third-party rules & regulations.
Knowledge and familiarity with CPT and ICD-10 coding and terminology.
Proficiency with general office equipment, including PC and software (Excel, Word, Office), phone, fax, etc.

Responsibilities

Collecting self-pay balances on open accounts.
Reviewing and ensuring the accuracy and completeness of online accounts, promissory notes, or other signed documents by the guarantor.
Generating computer letters for all patient balances, including co-pays and deductibles for self-pay.
Performing accounts analysis at the request of the client, including calculation of disallowances or other allowances that may have affected the guarantor's balance.
Performing and completing requests for adjustments required prior to billing.
Preparing all forms and obtaining all approval signatures required to assign accounts to the collections agency.
Following up on unpaid accounts as assigned.
Following up on incorrect address/returned mail as assigned.
Demonstrating control of assigned accounts receivable through measurable improvement reporting.
Maintaining accounts receivable at or below goal on a consistent basis.
Responding to all telephone inquiries in a timely and courteous manner.
Responding to all billing email inquiries in a timely and courteous manner.
Preparing or generating and printing computer reports for supervisor review.
Performing special projects and participating in internal and external audits.
Attending meetings and training classes as required by the department or management.
Adhering to established departmental and facility policy and procedures, objectives, quality assurance program, safety and infection control standards.