Medical Insurance Accounts Receivable Collections Specialist

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Job Description - Medical Insurance Accounts Receivable Collections Specialist

Patient Accounts Receivable Collections Specialist

At Olympic Sports & Spine (OSS), we promote a quality work setting, and we are known for our fun and energetic work environment and for valuing our employees . Our clinics and offices are fun and full of supportive colleagues who all share an interest in creating the best possible place to work. Learn more at

POSITION SUMMARY:

The medical A/R patient collections specialist is responsible for medical insurance follow-up to ensure accounts have been appropriately billed and reimbursed. Duties include contacting assigned insurance companies to secure and expedite payments through the insurance follow-up and appeals process. Experience in patient accounting functions, including billing, follow-up, collections, patient concerns, cash application, and credit balance resolution p referred.

SUMMARY OF DUTIES:

  • Prepare and input allowances and adjustments to patient accounts according to insurance payer requirements and department procedures.
  • Access insurance companies' online systems to obtain eligibility and claims processing information.
  • Respond to inquiries from patients, insurance companies, government agencies, and other departments. Contact patients and payers by telephone to resolve account balances.
  • Analyze unpaid insurance claims to determine appropriate follow-up action to assure payment.
  • Analyze insurance contracts for reimbursement accuracy.
  • Process appropriate transactions to correct inaccurate account balances.
  • Prepare correspondence to address accountability concerns.
  • Resolve credit balances through allowances, adjustments, or refunds to patients.
  • Participates in educational activities and attends monthly staff meetings.

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Extensive insurance billing, follow-up experience,
  • Previous experience working in health care insurance follow-up (is preferred, but not necessary),
  • Experience in patient accounts receivable/collections (is preferred but not necessary),
  • Strong interpersonal skills, sound judgment & decision-making,
  • Strong analytical skills.
  • Persuasive customer service skills,
  • Effective written and oral communication skills,
  • Capable of working independently,
  • Ability to prioritize and organize daily tasks,
  • Ability to always represent OSS professionally,
  • Ability to communicate information effectively to payers, clients, and staff,
  • Secure patients' demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulation.

BENEFITS:

Check out our benefits page for more information about our Benefits and Rewards.

  • Matching 401(k)
  • Health Insurance
  • Dental and Vision Insurance
  • Advancement opportunities
  • Company-wide celebrations and events!

SCHEDULE:

  • Monday - Friday (no weekends) from 8 am to 5 pm.

#OSS001

Job Posted by ApplicantPro
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