Collection Specialist

Description

Autism Care Partners provides individualized therapy for children diagnosed with autism spectrum disorder. The Collection specialist will work closely with the Revenue Cycle Team to assure accurate and timely submissions of claims, follow-up with payors, and appealing denials. High attention to detail is needed for this position.

Essential Functions

Contacting Insurance Companies:

• Reaching out to insurance companies to inquire about claim status, follow up on denials, and resubmit claims as needed.

Reviewing and Analyzing Claims:

• Examining Explanation of Benefits (EOB) documents to understand coverage and unpaid amounts.

Patient Communication:

• Communicating with patients to explain outstanding balances, answer questions, and set up payment arrangements.

Appealing Denied Claims:

• Preparing and submitting appeals for denied claims to the insurance companies.

Maintaining Accurate Records:

• Updating patient accounts, tracking outstanding balances, and documenting all communication and actions taken.

Negotiating Payment Plans:

• Working with patients to develop affordable payment plans for outstanding balances.

Generating Reports:

• Preparing reports on collections performance and outstanding balances for management.

Working with Electronic Health Records (EHR):

• Utilizing EHR systems to access and manage patient information and billing data.

Competencies

• High level of organization, attention to detail and strong follow up skills.
• High degree of confidentiality
• Excellent written and verbal communication skills
• Excellent time management and organizational skills
• Proficient with Microsoft Office Suite; specifically, Excel
• Excellence in Customer Service
• Strong phone etiquette
• Ability to problem-solve.

Meeting Expectations

• Occasional team/staff meetings as scheduled.

Work Environment

• This position operates in a typical office environment
• This position operates on a 37.5 hour work week

Physical Demands

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 20 pounds at times.

Education and Experience

• High School diploma or equivalent
• Two years of experience in clerical/office support work and/or education post-high school level in medical collections and billing or related field preferred.

Additional Requirements

• Employees in this role are considered essential workers as part of the critical infrastructure.
• No prior criminal history.
• Experience with Central Reach preferred
• Ability to utilize technology
• Proficient computer skills- Microsoft Office, Microsoft Outlook, Windows, specifically Excel
• Ability to operate basic office equipment

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