Medical Collection Specialist

Medical Collection Specialist

This position is responsible for ensuring the timely collections of patient receivables and insurance companies.

Responsibilities include :

• Making follow-up phone calls on accounts with outstanding balance.
• Maintaining standards to ensure systematic, consistent and timely collection follow-up.
• Following up on accounts with outstanding balances that do not have appropriate payment arrangements.
• Printing the Aged Trial Balance report every other week and working every outstanding account.
• Maintaining all notes regarding written and / or verbal communication on the account in the "MEMO" file.
• Documenting dates for all patient statements in the "MEMO" file before sending accounts to a collection agency.
• Making initial follow-up calls on insurance due accounts 30 days following the date of service and subsequent follow-up calls every 14 days.
• Transferring insurance due balances not paid within 90 days to patient due and billing the patient.
• Working all denial queues and correspondence within 14 days.
• Identifying underpayments, disputing with appropriate steps, monitoring billing errors, and timely rebilling.
• Maintaining knowledge of payers medical policies, pre-certification list, non-covered items, and CPT codes.
• Maintaining aging A / R percentage of under 25% of 60 days and 9% of 120 days.
• All other duties assigned.

Qualifications :

USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.