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Medical Collections Specialist
Ref No.: 18-44599
Location: Renton, Washington
Position Type:Right to Hire
Start Date: 04/18/2018

Under general supervision of the Billing Manager, The Insurance Collections Specialist collects payment on assigned delinquent or short paid accounts by contacting insurance companies by telephone and/or written correspondence, reviewing documentation, and arranging payment in order to minimize loss to the organization and resolving account delinquency.

Major Duties & Responsibilities:
  • Open Item A/R review; Locate and monitor overdue accounts, review A/R spreadsheets, research and resolution of claims (pull EOB's, verify pricing, payment info, etc.), and assist with rebilling of claims.
  • Follows appropriate procedures for follow-up on third party payment and collection of overdue open item balances including recording information regarding status of collection efforts.
  • Work EOB denials; research denied claims
  • Call insurance companies and check claim status.
  • Submit appeals to the insurance company if needed.
  • Work with insurance companies/3rd party payers on necessary actions and strategies for debt repayment.
  • Re-bill claims, transfer charges, adjustments, and write-offs.
  • Handle insurance complaints professionally and quickly with complete and timely follow through. Have the ability to recognize when a complaint needs to be escalated to the Billing Manager.
  • Provide coverage for fellow teammates when they are out of the office.
  • Have the ability to be flexible with your work schedule if it is necessary to meet deadlines or deliverables as assigned by the Billing Manager, Lead, or Executive Management.
  • Other related duties as assigned.
Educational or Skills Requirements:
  • Medical or Health Insurance billing and collection experience is required.
  • Knowledge of Microsoft Office, billing systems and telephone protocol. Duties require professional verbal and written communication skills
  • Ability to be a participating member in a cooperative work environment.
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of patient personalities, in a diverse environment.
  • Knowledge of health care billing, collection and credit balance procedures, requirements, documentation, and compliance/HIPAA standards.
  • Ability to organize, prioritize and manage various work assignments in a fast paced environment.