Job Description
Job Description
Title : Collections Specialist
Location : USA / Remote
Reports to : EMS Global Revenue Cycle Manager
FLSA Classification : Non-Exempt
Full-Time or Part-Time : Full-time
Salary Range : $20 - $24
- Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.
Position Overview : The Collections Specialist helps motivate front-line collectors to ensure they meet operational goals. The team lead will be responsible for supervising a team of Collectors. Will be involved in allocating and checking the work of other members of the team. Will play a mentoring role, coordinating tasks for the team and / or checking on completion and quality of work. The ideal candidate has passion and drive, intelligence and integrity, high attention to detail, professionalism and excellent follow-up skills to increase revenue for our customers. The position requires a thorough knowledge of the healthcare industry and an effective strategy working with insurance carriers to get claims paid.
Key Responsibilities :
Assist day to day operations of the Collections Department to ensure smooth workflow and to achieve predetermined goals.Will be coaching a team of approximately 5-6 Collections Specialists in a manner that ensures high volume revenue collections. Will complete performance reviews for direct reports and conduct one on one meetings.Builds effective and strong teams committed to achieving organizational goals.Motivate and guides Collections staff to clarify each collector’s workload and assigned accountsAnalyzes Explanation of Benefits and Remittance Advices and ensures claims processed according to members plansIdentifies denial reasons, and follows appeal process to get claims paidPerforms high volume collection phone calls to insurance companiesAccesses payer online resources to expedite claims follow up and ensure claims are on file and processingFollows EOB protocol, retrieve documentation to ensure paid accounts are closedAccesses billing software to analyze rejection reasons and communicate findingsCommunicates billing / coding errors and completes resubmission requestIdentifies and reports changes and trends in carrier guidelines and reimbursement patternsExecutes and delivers special projects from management and other duties as assignedCorresponds with third party rate negotiation companies to expedite claim processAccesses EMR, retrieves medical records and follows protocolAdheres to documentation protocol, notates accounts and reports appropriatelyOrganizes daily and weekly production / action reports in file shareParticipates in companywide and departmental meetingsCommits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goalsUnderstands and complies with all HIPAA rules and regulationsQualifications :
3-5 years High Volume corporate Collections experienceKnowledge of Billing and Collections proceduresExperience working with online payer resourcesAccounts Receivable knowledge / experience a plusStrong attention to detail, goal orientedCommitment to excellent customer serviceAbility to work efficiently within deadlinesExcellent written and verbal communication abilitiesStrong interpersonal skills and ability to work in a team environmentAbility to prioritize and manage multiple responsibilitiesAdheres to all policies and procedures as outlined in the Employee HandbookProficiency using Microsoft Office productsAdditional information :
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.
Salary : $20 - $24
