Medcial Collection Specialist

Medical Collection Specialist

USPI Medical Park Tower Surgery Center is seeking a motivated Collection Specialist to join our team. We have 5 OR rooms. We perform outpatient surgical procedures in General, Ophthalmology, Orthopedic, Urology. Position requires weekdays only no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

We are looking for an experienced Collection Specialist to contact clients and collect outstanding payments. You will strike a balance between maintaining trustful relationships and ensuring timely payments.

Our Collection Specialist should exhibit professionalism and trustworthiness. You should have excellent communication and negotiation skills as well as an ability to work independently and interdependently with other business office staff.

Job Summary

Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent surgery center claims and working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.

Responsibilities

• Extensive contact with insurance carriers of all types as well as communication with patients regarding out-of-pocket amounts is required. Identification of accounts which have either been under or over paid, issuing credit balance information to the insurance carrier or the patient.
• These practices shall be done in a professional and communicative manner, per policies and procedures, guidelines, internal control measures and established goals.
• Candidate must be a team player and have ability to communicate well with direct reports, patients, customers, insurance carriers, etc.
• Ability to manage accounts worked independently, and in a productive manner.
• Must project a professional demeanor and appearance while maintaining the confidentiality of the surgery center and patients.
• Works well in stressful environment and in situations that demand patience.
• Projects a professional demeanor and appearance while maintaining the confidentiality of administration, patients, physicians and employees.
• Works under stress and in situations that demand patience and tact while providing impeccable service.

Required Skills

Qualifications :

3 or more years' experience in healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting.

Prefer previous experience working with Advantx. (Patient Accounting System)

Experience with electronic patient information systems.

Prefer previous experience with Electronic Health Record system but will train.

Medical terminology.

Ability to work independently.

Excellent communication skills and interpersonal skills.

Skilled in time management and prioritization of emergent situations.

Good customer service skills, always demonstrates professionalism.

Comfortable utilizing critical thinking skills.

Proficient with Microsoft Office products.