Pharmacy Collections Specialist

SelectQuote, Inc.•UNAVAILABLE, Remote

2d•Hybrid

About The Position

The Collection Specialist is responsible for collecting and posting payments, managing patient account payments, and resolving past-due patient balances. This position has no direct supervisory responsibilities. The role involves monitoring accounts receivable, contacting customers with overdue accounts, negotiating payment plans, and utilizing various tools to locate customers. It also requires maintaining records of contacts and payments, resolving customer issues, submitting reports on unpaid accounts, and communicating insurance changes or accounts receivable trends. The specialist will also answer patient and insurance company questions, participate in educational activities, attend staff meetings, and maintain strict confidentiality in adherence to HIPAA guidelines. Other duties may be assigned.

Requirements

Ability to operate a computer, computer software, and basic office equipment
Ability to operate a multi-line telephone system
Skill in answering a telephone in a pleasant and helpful manner
Ability to read, understand, and follow oral and written instructions
Ability to establish and maintain effective working relationships with patients, employees, and the public
Proficiency reading, writing and speaking English is required
Pharmacy Technician Certification required
Indiana and Pennsylvania State Pharmacy Technician license required
Knowledge of business office procedures

Nice To Haves

1 year of medical billing and collections practice experience preferred
Knowledge of basic medical coding and third-party operating procedures and practices preferred

Responsibilities

Monitor accounts receivable and identifies overdue accounts to be addressed
Contact customers with overdue accounts and attempt to either collect the overdue amount or negotiate a payment plan to collect it in installments
Use credit bureau data, post office information, internet searches, and other tools to try to locate customers who have moved or changed phone numbers
Maintain records of contacts and attempted contacts with delinquent account customers as well as records of any payments collected from the customer
Resolve customer issues and complaints concerning billing or escalate to supervisor as needed
Submit regular reports on the status of unpaid accounts and any repayment progress
Communicate any insurance changes or Accounts receivable trends among the team
Maintains a level of productivity suitable for the department.
Answering questions from patients, clerical staff, and insurance companies
Participating in educational activities and attending staff meetings
Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations
Other duties as assigned