What are the responsibilities and job description for the Collection Specialist position at CoreLife?
MEDICAL BILLING SPECIALIST
(This is an in-person position at our Corporate Office in Linthicum, MD)
We are seeking a dedicated Collections Specialist to join our team in managing and resolving patient accounts with outstanding balances, focusing primarily on insurance-related payments. The ideal candidate will have a deep understanding of healthcare billing practices, insurance claims processes, and excellent communication skills. This role involves working with patients, insurance companies, and internal teams to ensure accurate and timely payment processing.
Key Responsibilities:
Account Management:
- Monitor and manage a portfolio of patient accounts with outstanding balances.
- Review patient accounts to determine appropriate actions for collections.
- Ensure balances are accurately updated in the billing system.
Insurance Payment Coordination:
- Follow up with insurance companies on unpaid or denied claims.
- Verify insurance benefits and eligibility as required.
- Submit appeals for denied claims and track progress.
- Resolve discrepancies and issues with insurance payments.
Patient Communication:
- Contact patients regarding outstanding balances and explain their account status.
- Set up payment plans, ensuring patients understand and agree to the terms.
- Address patient inquiries and concerns regarding their accounts and insurance payments.
- Educate patients on insurance coverage and financial responsibilities.
Documentation and Reporting:
- Maintain accurate records of patient interactions, payment arrangements, and insurance communications.
- Submit regular reports on collections, outstanding balances, and account resolutions.
- Ensure compliance with healthcare regulations, privacy laws, and internal policies.
Collaboration:
- Work closely with the billing department to resolve issues and ensure accurate claim submissions.
- Coordinate with the customer service team to address patient concerns promptly.
- Collaborate with the finance team to reconcile accounts and ensure proper payment allocation.
Education:
- High school diploma or equivalent required; Associate’s or Bachelor’s degree in finance, business, or related field preferred.
Experience:
- Minimum of 2 years of experience in healthcare billing and collections or a related field.
- Strong understanding of healthcare insurance policies, billing procedures, and claim processes.
Skills:
- Excellent communication and negotiation skills.
- Proficiency in healthcare billing software (EPIC, Nextgen) and Microsoft Office Suite.
- Ability to handle sensitive patient information with confidentiality and professionalism.
- Strong problem-solving skills and attention to detail.
- Ability to work both independently and collaboratively in a fast-paced environment.
AS A CORELIFE TEAMMATE, YOU CAN EXPECT:
- Values-based culture
- A competitive salary based on experience ($21 - $25 an hour)
- Medical, dental, and vision insurance
- Wide selection of ancillary benefits
- Paid time off
- 7 paid holidays
- Retirement plan
CoreLife is an Equal Opportunity Employer.
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Salary : $21 - $25
