Medical Collections Specialist - Bedford Park

apartmentRobert Half placeBedford Park calendar_month 
We are seeking a Medical Collections Specialist to join our team in the Healthcare industry, located in Bedford Park, Illinois. As a Medical Collections Specialist, your focus will be on managing patient accounts, ensuring the accuracy of records, and effectively handling customer inquiries.

This role offers a contract to permanent employment opportunity, where you will work closely with team members and management to maintain a high standard of customer service.

Responsibilities:
  • Assist patients in making payments and negotiate payment schedules that are beneficial to both the facility and the patient.
  • Handle customer service issues independently where possible, and escalate customer concerns to management when necessary.
  • Collaborate with insurance verifiers and insurance collectors on the team to obtain and prepare documentation to resolve customer service issues related to patient responsibility and bill itemization.
  • Advises team members and appropriate administrative personnel on issues relating to balances assigned to patient responsibility.
  • Investigate patient responsibility related issues and arrange for follow-up with accounts needing attention from other team members or management.
  • Enter notations and record the status on accounts as prescribed by internal policies and procedures.
  • Prepare reports for team members and management as necessary, acting as a resource for patients, team members, facility personnel, and management.
  • Be responsible for statement batch production, statement mailing, and collection follow-up phone calls.
  • Audit, keep track, and follow up on accounts due for patient responsibility or patient refund.
  • Communicate systemic issues relating to statement production and account balances to team members and management as appropriate.
  • Recommend accounts to collections as dictated by the company’s internal guidelines and prepare and issue refund and transfer requests when appropriate. • Proficiency in Accounts Receivable (AR) is a must, as the role involves managing and tracking payments
  • Experience in Appeals, as the candidate will need to handle and resolve any discrepancies or disputes
  • Solid understanding of Billing Functions, as the position requires managing invoices and ensuring timely payments
  • Familiarity with Claim Administration, as the job involves processing and managing insurance claims
  • Comprehensive knowledge of Collection Processes, since the role involves recovering unpaid debts
  • Excellent Customer Service skills, as the job requires interaction with patients and insurance companies to resolve payment issues.
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