Job Description
COLLECTION SPECIALIST
GENERAL SUMMARY OF DUTIES -
Responsible for account follow-up and resolution of patient receivables.
- Responsible for all aspects of receivable processing,
including but not limited to, billing, collection, account and system maintenance, process reconciliation and productivity reporting.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
• Maintains current knowledge of all office operations, job specific requirements and related regulations.
• Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes and payer information.
• Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.
• Reviews, makes corrections to, and insures the legibility of outgoing secondary bills, and other correspondence before sending.
• Handles all incoming phone calls and inquiries in a appropriate manner.
• Properly processes and responds to incoming correspondence.
• Contacts and effectively communicates with all parties involved in the resolution of accounts placed.
• Completes work request timely and in accordance with instruction.
• Performs all of the task necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).
• Forwards and logs all documentation related to processes and duties which are transferred to other employees.
• Brings problems and troubling accounts, as well as related questions, to his/her immediate
supervisor’s attention daily.
• Exercised good judgment and makes sound decisions in the absence of detailed instructions or in a
emergency situation.
• Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and according to instruction.
• Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.
• Adapts and conforms to company and client requirements not specified in this job
description/performance review
Job Requirements
EDUCATION
• High school graduate or equivalent.
EXPERIENCE
• Minimum of 2 years resolution of patient receivables
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