Job description

Collection Specialist

Confidential company is seeking a talented and qualified Posting and Collection Specialist to join our growing team. We are a leading national eyecare service platform, partnering with the most respected eye care practices in the country so providers can focus on delivering the best medical and surgical eye care services. As a Posting and Collection Specialist, you are responsible for ensuring that the company receives all necessary payments from debtors. Their duties include monitoring accounts payable statements to identify debts owed to the company, contacting patients or providers to notify them of overdue payments and documenting debts collected.

POSTING/COLLECTION SPECIALIST RESPONSIBILITIES:

• Perform complex clerical and accounting functions, including verification of explanation of benefits response, maintenance of billing records, and resolution of problems.
• Monitor the company’s accounts receivable and identify overdue accounts.
• Responsible for gathering and processing the information required to complete the medical insurance claims process.
• Contact patients with overdue accounts and attempt to either collect the overdue amount or negotiate a payment plan to collect it in installments.
• Responsible for investigating pending claims and resolving discrepancies.
• Use credit bureau data, post office information, internet searches and other tools to try to locate customers who have moved or changed phone numbers.
• Maintain records of contacts and attempted contacts with delinquent account customers as well as records of any payments collected from the customer.
• Resolve customer issues and complaints concerning billing.
• Submit regular reports on the status of unpaid accounts and any repayment progress.
• Perform posting charges.
• Perform completion of claims to payers
• Conduct duties in a professional and timely fashion.
• Submit billing data to the appropriate insurance providers.
• Process claims.
• Resolve denial instances.
• Achieve maximum reimbursement for services provided.
• Deploy, maintain and report on various programs.
• Conduct audits.
• Searching each financial statement for any payment inconsistencies or errors.
• Collaborating with patients or providers, third party institutions and other team members to resolve billing inconsistencies and errors.
• Inputting payment history, upcoming payment information or other financial data into an individual account.
• Informing patients or providers of any missed or upcoming payment deadlines.
• Calculating and tracking various medical centers' financial statements.
• Translating medical code if working in a medical setting.
• Performs other duties as assigned by the supervisor.

POSTING/COLLECTION SPECIALIST QUALIFICATIONS/SKILLS:

• Highly organized, proactive, attentive to details and goal oriented.
• Ability to work with large data sets with guidance from medically trained individuals.
• Ability to identify problems, think logically or creatively, and devise practical solutions.
• Ability to prioritize and carry out work assignments independently and efficiently.
• Ability to work independently and be self-directed and flexible.
• Ability to prioritize.
• Ability to perform functions with minimal supervision.
• Ability to work at a high-volume level of accuracy.
• Ability to be discreet and maintain the security of patient or customer information.
• Strong attention to detail with excellent organizational skills.
• Ability to adapt easily to changing conditions and work responsibilities.
• Ability to complete assigned tasks under stressful situations.
• Advance understanding of medical terminology and diagnoses knowledge
• Establishes and maintains effective working environment.
• Excellent communication skills, both verbal and written.
• Excellent people skills while following medical centers policies and procedures.
• Excellent problem-solving and critical thinking skills
• Proficient computer skills
• Strong level of confidentiality due to the sensitivity of materials and information handled.
• In-depth knowledge of industry best practices
• Basic math and accounting skills
• Understanding of industry-specific policies, such as HIPAA regulations for health care. Maintain a high level of integrity and confidentiality of patient medical information, team member and employer confidentiality. Comply with all HIPAA regulations.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Highschool Diploma
• Minimum of 3 years in posting and collection in billing Ophthalmology and Retina
• Proficient in Electronic medical claims and customer service
• Proficient with Microsoft word and excel.

TO QUALIFY APPLICANTS MUST PASS:

• A level background check.

WORK HOURS AND BENEFITS:

• 40 hours work week.
• Comprehensive employee benefits package including 401-K, health/dental/vision insurance, paid vacation and holidays.

Job Type: Full-time

Pay: $23.00 - $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• North Miami Beach, FL 33162: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Preferred)

Experience:

• Collection and Billing: 3 years (Preferred)
• Customer service: 1 year (Preferred)

Work Location: In person

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