Title: Collections Specialist
Location: USA/RemoteReports to: EMS Global Revenue Cycle ManagerFLSA 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 accounts
- Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed according to members plans
- Identifies denial reasons, and follows appeal process to get claims paid
- Performs high volume collection phone calls to insurance companies
- Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing
- Follows EOB protocol, retrieve documentation to ensure paid accounts are closed
- Accesses billing software to analyze rejection reasons and communicate findings
- Communicates billing/coding errors and completes resubmission request
- Identifies and reports changes and trends in carrier guidelines and reimbursement patterns
- Executes and delivers special projects from management and other duties as assigned
- Corresponds with third party rate negotiation companies to expedite claim process
- Accesses EMR, retrieves medical records and follows protocol
- Adheres to documentation protocol, notates accounts and reports appropriately
- Organizes daily and weekly production/action reports in file share
- Participates in companywide and departmental meetings
- Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
- Understands and complies with all HIPAA rules and regulations
Qualifications:
- 3-5 years High Volume corporate Collections experience
- Knowledge of Billing and Collections procedures
- Experience working with online payer resources
- Accounts Receivable knowledge/experience a plus
- Strong attention to detail, goal oriented
- Commitment to excellent customer service
- Ability to work efficiently within deadlines
- Excellent written and verbal communication abilities
- Strong interpersonal skills and ability to work in a team environment
- Ability to prioritize and manage multiple responsibilities
- Adheres to all policies and procedures as outlined in the Employee Handbook
- Proficiency using Microsoft Office products
Additional 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.
20 To 24 (USD) Hourly
