Now Hiring|Medical Collection Specialist 

POSITION SUMMARY
The primary responsibility of the Medical Collection Specialist is to ensure effective collections on all patient accounts.

MINIMUM REQUIREMENTS FOR THE MEDICAL COLLECTIONS SPECIALIST



2 years previous experience in office billing and collections environment and/or accounting finance experience required

High degree of attention to detail and accuracy required

High school diploma or equivalent

Working knowledge of MS Office applications which includes Outlook, Word, Excel, and Power Point

Ability to read, understand, interpret and resolve payer denials

Ability to research payer regulations and determine appropriate collection action

Ability to utilize multiple patients accounting and billing applications including but not limited to FISS/GPnet direct connect systems, claims clearing house systems, payer systems, etc.

Ability to calculate reimbursement per payer contract

Ability to interface with the staff at the insurance carriers, HIM, and Access Service staff

Ability to read, write and understand documents, correspondence, and memos

Ability to effectively present information one-to-one and in group situations to customers, clients, and other employees in the organization

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form

Critical thinking skills required

Effective PC skills

Will be working remotely after training

ADDITIONAL PREFERRED QUALIFICATIONS 

Minimum of two years’ experience in medical collections preferred

ESSENTIAL FUNCTIONS

  • Makes follow-up phone calls on accounts with outstanding insurance balances.
  • Maintains standards to ensure systematic, consistent, and timely collection follow-up.
  • Current productivity standard is 35 accounts per day or as assigned.
  • Follow-up on accounts with outstanding balances that do not have appropriate payment arrangements.
  • The Aged Trial Balance report will be printed every other week, or as assigned by BOM, and every outstanding account should be worked
  • All notes regarding written and/or verbal communication on the account will be maintained in the “MEMO” file on the patient’s account and should include the following:

Date of collection work

Time of collection work

Telephone # of contact

Full name of contact

Location of contact (home, work, employer, insurance co.)

Complete summary of conversation

Next follow-up date based on payment promises

Collector’s initials

Reimbursement calculation

Insurance Due Accounts should have the initial follow-up call made 30 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid. Insurance Due balances not paid within 90 days from date of bill should have appropriate actions taken which could include transferring to patient due and billed to the patient.

Maintain interaction with Health Information Management Department and relative team members to expedite issues

Works in conjunction with other staff to successfully meet internal goals

Participates in group meetings and /or various committees

Makes suggestions on workflow improvements

Notifies BOM of any collection issues

Maintains a positive attitude toward their position and responsibilities

Additional job duties as assigned

Job Type: Full-time
Job Location:

Dallas, TX
Required education:
High school or equivalent

Required experience:
calculate reimbursement per payer contract: 2 years

Medical Collections: 2 years

medical billing: 2 years

writing appeals: 1 year

reading/understanding hospital contracts: 1 year

If interested in this position please email your resume to info{at}womenwithgifts.com

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