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