The Collections Specialist is responsible for auditing accounts receivable generated in the medical billing cycle, ensuring the accuracy of the information before final collection. This role involves analyzing accounts, preparing detailed reports for supervision, making corrections when necessary, and executing collection procedures with medical plans. In addition, the Collections Specialist must maintain direct communication with medical plans and, if required, make visits to deliver audited reports.
Responsibilities:
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Audit accounts receivable to ensure accuracy and compliance with internal policies and health plan requirements.
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Prepare and deliver detailed audit analyses to the supervisor for the final collection process.
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Make corrections to invoices or accounts when errors are identified.
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Perform collection efforts, including calls, emails, and proactive follow-up with health plans.
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Maintain effective communication with health plans to resolve discrepancies and expedite the payment process.
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Visit health plans when necessary to deliver agings reports and discuss outstanding accounts.
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Document all actions taken in internal systems and maintain up-to-date records.
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Meet productivity metrics and response times established by the company.
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Collaborate with other departments to resolve billing and collection issues.
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Ensure compliance with corporate policies, standards, and procedures.
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Review and deactivate paid cases.
Requirements:
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Associate's degree in medical Billing or the equivalent of 2 years of billing experience.
Equal Opportunity Employer M/F/V/D
