healthcare collections specialist

Lexington Clinic

<div>SUMMARY:
 The Patient Financial Specialist/Customer Service Rep position has an opportunity to work remotely from home within the Central Kentucky Area after completion of 6 months in office training, positive quality measurement and achievement/maintenance of position benchmarks. The Patient Financial Specialist/Customer Service Rep supports Lexington Clinic financial policies and protocols through professional interactions and advocacy with customers via inbound and outbound calls; responds to and/or resolves customer queries and concerns; follows-up and completes account actions, rebilling, appeals, updates and corrections as appropriate; Documents all account actions or communications appropriately; Completes reports as assigned as well as other duties as assigned.
NOTE: To allow coverage of all PFS and CSU duties, the Patient Financial Specialist/Customer Service Rep&rsquo;s time will typically be split such that an average of no more than 65%, of the employees total time is spent on PFS or CSU.
 PREFERRED QUALIFICATIONS:
 Formal training which will probably be indicated by a high school diploma or equivalent; prefer two years experience working in healthcare collections and billing or in another healthcare related field; good verbal and written communication skills.
 PHYSICAL GUIDELINES:
 Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; visual acuity; manual dexterity and motor coordination.
 NOTE:
 This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job. 
 LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)</div>

Patient Financial Specialist/CSR (4189) PATIENT ACCOUNTS CORP OF

CHRISTUS Health

<div>Description 
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA&rsquo;s business objectives.</li><li>
Documents and updates patient account information in TLRA&rsquo;s collection software system timely and accurate to include appropriate account status.</li><li>
Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.</li><li>
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.</li><li>
Performs research and analysis of account issues and strives to resolve problems timely and accurately.</li><li>
Ensure daily productivity standards are met.</li><li>
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.</li><li>
Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential.</li><li>
General hospital A/R accounts knowledge is required.</li><li>
Performs other special projects as required when assigned.</li></ul>
Collections &ndash; Insurance
<ul><li>Maintains active knowledge of all collection requirements by payors.</li><li>
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.</li><li>
Ensures quality standards are met and proper documentation regarding patient accounting records.</li><li>
Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.</li></ul>
Collections &ndash; Self Pay
<ul><li>Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.</li><li>
Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements.</li><li>
Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.</li></ul>
Physician Billing/Collections
<ul><li>Ensure proper reimbursement for all services and to ensure all appeals are filed timely.</li><li>
Review accounts and determine appropriate follow-up activities utilizing Six Sigma Practices.</li><li>
Identify under and overpayments and take appropriate actions to resolve accounts.</li><li>
Validate commercial insurance claims to ensure the claims are paid according to the contract.</li><li>
Direct knowledge using Meditech and CollectLogix software.</li><li>
Monitor and communicate errors generated by other groups and evaluate for trends.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High School diploma or equivalent years of experience required.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 
Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Patient Account Specialist Senior - TLRA Support Services

<div>Description 
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA&rsquo;s business objectives.</li><li>
Documents and updates patient account information in TLRA&rsquo;s collection software system timely and accurate to include appropriate account status.</li><li>
Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.</li><li>
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.</li><li>
Performs research and analysis of account issues and strives to resolve problems timely and accurately.</li><li>
Ensure daily productivity standards are met.</li><li>
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.</li><li>
Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential.</li><li>
General hospital A/R accounts knowledge is required.</li><li>
Performs other special projects as required when assigned.</li></ul>
Collections &ndash; Insurance
<ul><li>Maintains active knowledge of all collection requirements by payors.</li><li>
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.</li><li>
Ensures quality standards are met and proper documentation regarding patient accounting records.</li><li>
Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.</li></ul>
Collections &ndash; Self Pay
<ul><li>Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.</li><li>
Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements.</li><li>
Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.</li></ul>
Physician Billing/Collections
<ul><li>Ensure proper reimbursement for all services and to ensure all appeals are filed timely.</li><li>
Review accounts and determine appropriate follow-up activities utilizing Six Sigma Practices.</li><li>
Identify under and overpayments and take appropriate actions to resolve accounts.</li><li>
Validate commercial insurance claims to ensure the claims are paid according to the contract.</li><li>
Direct knowledge using Meditech and CollectLogix software.</li><li>
Monitor and communicate errors generated by other groups and evaluate for trends.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High School diploma or equivalent years of experience required.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul>
Work Type: 
Full Time
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We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.</div>

Patient Account Specialist Senior - TLRA Insurance

<div>Description 
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA&rsquo;s business objectives.</li><li>
Documents and updates patient account information in TLRA&rsquo;s collection software system timely and accurate to include appropriate account status.</li><li>
Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.</li><li>
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.</li><li>
Performs research and analysis of account issues and strives to resolve problems timely and accurately.</li><li>
Ensure daily productivity standards are met.</li><li>
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.</li><li>
Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential.</li><li>
General hospital A/R accounts knowledge is required.</li><li>
Performs other special projects as required when assigned.</li></ul>
Collections &ndash; Insurance
<ul><li>Maintains active knowledge of all collection requirements by payors.</li><li>
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.</li><li>
Ensures quality standards are met and proper documentation regarding patient accounting records.</li><li>
Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.</li></ul>
Collections &ndash; Self Pay
<ul><li>Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.</li><li>
Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements.</li><li>
Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.</li></ul>
Physician Billing/Collections
<ul><li>Ensure proper reimbursement for all services and to ensure all appeals are filed timely.</li><li>
Review accounts and determine appropriate follow-up activities utilizing Six Sigma Practices.</li><li>
Identify under and overpayments and take appropriate actions to resolve accounts.</li><li>
Validate commercial insurance claims to ensure the claims are paid according to the contract.</li><li>
Direct knowledge using Meditech and CollectLogix software.</li><li>
Monitor and communicate errors generated by other groups and evaluate for trends.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High School diploma or equivalent years of experience required.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 
Work Schedule: 
5 Days - 8 Hours
Work Type: 
Full Time</div>

AIS HealthCare

<div><div><div><div><div><div>This is a 100% remote opportunity; however, please only apply if you have3 to 5 years of medical insurance collections experience.
AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.
AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities.
AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer contribution. Additionally, we offer a 100% work from home model.
EDUCATION AND EXPERIENCE:
<ul><li>A high school diploma or general education degree (GED) equivalent is required.</li>
<li>3-5 years of healthcare industry experience required.</li>
<li>3-5 years of medical billing and collections experience required.</li>
<li>Home Infusion, Intrathecal Pain Management experience preferred.</li>
</ul>ESSENTIAL DUTIES AND RESPONSIBILITIES:
<ul><li>Recognizes patients&rsquo; rights and responsibilities and supports them in the performance of job duties, respects patient&rsquo;s rights to privacy and confidentiality.</li>
<li>Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary.</li>
<li>Evaluates payments/denials received for correctness and ensures they are applied accordingly.</li>
<li>Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures.</li>
<li>Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.</li>
<li>Processes refund requests, in accordance with policies and procedures.</li>
<li>Maintains contact with other departments to obtain patient or insurance information needed for claim payment.</li>
<li>Responsible for understanding all procedures within regulatory mandates.</li>
<li>Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.</li>
<li>Makes calls to troubleshoot payment discrepancies and establish resolution.</li>
<li>Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.</li>
<li>Consistently looks for areas to maximize claim reimbursement.</li>
<li>Resolves issues that created a denial within 5 days of receipt of denial.</li>
<li>Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.</li>
<li>Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.</li>
<li>Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.</li>
<li>Shares knowledge gained with other staff members and works as a team member.</li>
<li>Interacts with others in a positive, respectful, and considerate manner.</li>
<li>Performs other job-related duties as assigned.</li>
</ul>QUALIFICATION REQUIREMENTS:
<ul><li>Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.</li>
<li>Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.</li>
<li>Strong work ethic with personal qualities of integrity and credibility.</li>
<li>Self-directed, detail oriented, conscientious, organized, and able to follow through.</li>
<li>Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.</li>
<li>Tolerant of frequent interruptions and distractions from staff and other internal support teams.</li>
<li>Proficient in Microsoft Office, including Outlook, Word, and Excel.</li>
</ul>Steps to Apply:
To apply for this role, you must complete a Culture Index Assessment to be considered.Please note that your application will not be considered if the Assessment is not completed.
Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.
portal.cultureindex.com/public/survey/general/0BFB8F0000
AIS HealthCare&trade;is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.
We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.</div></div></div></div></div></div><div></div>

Experienced Medical Insurance Collection Specialist

Kelsey-Seybold Clinic

<div>Job ID: 2349200 
Job Type: Full-time 
Location: Pearland, TX 77581

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation&rsquo;s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. 


Primary Responsibilities:
<ul>
<li>Responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans</li>
<li>Assists in notifying patients who have previous balances of their financial responsibility and helping them understand their payment options</li>
<li>Other duties include performing financial collection functions, (e.g., account analysis, extended payment arrangements)</li>
<li>Maintains effective communication and professional interaction with patients and fellow co-workers</li>
<li>Conducts duties in accordance with industry standards and in compliance with department policy &amp; procedures</li>
<li>Must be able to meet Central Business Office standards for established production and quality standards</li></ul> 


You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
<ul>
<li>High School diploma</li>
<li>3+ years of healthcare collections experience (both self-pay and insurance) with guarantor account follow-up, successful appeals outcomes and the ability to interpret plan benefits/payment methodology by primary and secondary health plans.</li>
<li>Demonstrated basic PC literacy. Alpha/Num Forms Entry. Medical Terminology, CPT &amp; ICD coding experience. Use of physician billing systems and interpretation of Explanation of Benefits (EOB&rsquo;s)</li>
<li>Proven knowledge of healthcare insurance to include diversified understanding of rules and regulations of Commercial Insurance with appeals experience (claims denials)</li>
<li>Demonstrated analytical skills to include interpretation of guarantor account balances with problem resolution. Excellent telephone etiquette with demonstrated capability to meet with patients one-on-one and explain payment methodology by the insurance carrier</li>
<li>Ability to work independently and display teamwork qualities among peers and other department personnel.</li></ul> 


Preferred Qualifications:
<ul>
<li>1-year college, successful completion of Medical Billing &amp; Coding class</li>
<li>Certified/Licensed Medical Billing</li>
<li>1+ years of KSC Epic practice management system experience</li>
<li>Proficiency in Microsoft Word and Excel</li>
<li>Ability to handle a variety of tasks with speed and attention to detail</li></ul> 


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you&rsquo;ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes &ndash; an enterprise priority reflected in our mission. 


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Collections Representative – Kelsey Seybold

Kissena Plaza Dental

ALL WORK TO BE DONE ONSITE - NO OFFSITE OR REMOTE EMPLOYMENT AVAILABLEOverview THE FOLLOWING JOB IS FOR A DENTAL BILLING SPECIALIST.We are seeking a detail-oriented and organized Billing Specialist to join our team. The ideal candidate will have a strong background in dental billing and coding, with a thorough understanding of various billing systems. This role is crucial in ensuring accurate billing processes, managing collections, and maintaining comprehensive dental records. If you are passionate about the healthcare industry and possess the necessary skills, we encourage you to apply.Responsibilities<ul><li>Process and review dental billing claims for accuracy and compliance with regulations.</li><li>Utilize ICD-10 and ICD-9 coding systems to ensure proper coding of dental diagnoses and procedures.</li><li>Manage accounts receivable, including follow-up on unpaid claims and collections.</li><li>Collaborate with healthcare providers to resolve billing discrepancies and ensure timely payments.</li><li>Maintain detailed medical records and documentation to support billing processes.</li><li>Stay updated on coding practices and insurance policies.</li><li>Assist in the preparation of reports related to billing activities and performance metrics.</li></ul>Skills<ul><li>Proficiency in dental billing systems and software applications.</li><li>Strong knowledge of dental coding, including ADA codes and other relevant coding standards.</li><li>Experience with dental collections processes and handling accounts receivable.</li><li>Familiarity with dental office operations and procedures.</li><li>Excellent attention to detail with strong analytical skills.</li><li>Effective communication skills for interaction with patients, providers, and insurance companies.</li><li>Ability to work independently as well as part of a team in a fast-paced environment.</li></ul>If you are ready to contribute your expertise as a Billing Specialist in a dynamic healthcare setting, we look forward to your application.Job Type: Full-timePay: $21.68 - $25.00 per hourBenefits:<ul><li>Employee discount</li></ul>Work Location: In person

Dental Billing Coordinator

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10000 healthcare collections specialist jobs Near Me

Patient Financial Specialist/CSR (4189) PATIENT ACCOUNTS CORP OF

Patient Account Specialist Senior - TLRA Support Services

Patient Account Specialist Senior - TLRA Insurance

Patient Account Specialist Senior - TLRA Insurance

Experienced Medical Insurance Collection Specialist

Collections Representative – Kelsey Seybold

Dental Billing Coordinator