What are the responsibilities and job description for the Collections Specialist position at Sabino Recovery Group, LLC?
The Collection Specialist is responsible for maximizing collections and minimizing outstanding accounts receivable aging percentages by performing collection functions. Responsibilities also include monitoring outstanding accounts receivable, communicating with insurance carriers regarding unpaid claims, evaluating EOB’s for denials as well as filing appeals to insurance payors.
ESSENTIAL JOB FUNCTIONS:
- Ensure accurate and complete account follow-up.
- Resolve claim processing issues in a timely manner, evaluating problem claims to the appropriate managerial personnel with the insurance carrier’s organization to quickly resolve delinquent claims or contacting patient or third-party payers in compliance with established policies and procedures.
- Review assigned claims working within the established standards, for timely follow-up maintaining and updating all patient accounts to reflect current information.
- Assess each account for balance accuracy, payer plan and financial class accuracy, billing accuracy, denials, insurance requests, making any necessary adjustments, documenting appropriately and submitting corrections or request for processing in a timely manner.
- Resolve claim processing issues on a timely basis by reviewing claim inventories, payments and adjustments and taking appropriate actions to ensure proper discounts and allowances have been completed as well as identifies account for secondary billing and processes of refers to appropriate personnel.
- Document all activity taken on an account in the patient account notes.
- Work any assigned correspondence related to assigned accounts.
- Performs Verifications of Benefits (VOB).
- Speak to clients/ patients about insurance benefits and financial obligations.
- Perform other required duties in a timely, professional, and accurate manner.
- Serve as backup for billing specialists as needed.
