Medical Collection Specialist

Website Woodlawn - Business Office

Join the Woodlawn Team as a Medical Collection Specialist!

Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide!

Our Core Values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.

EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:

  • Prior Hospital &/or Physician Billing/Collections experience is required as well as High school diploma/GED
  • Good communication skills and pleasant phone technique as required while handling various telephone and in-person communication with patients, guests, and other medical providers in a professional manner.
  • Must possess and demonstrate good customer service skills.
  • The right candidate should have the ability to:
    • Read, analyze, and interpret governmental regulations and documents such as safety rules, operating and maintenance instructions, and procedure manuals.
    • Plan, organize, and prioritize work in a multi-task environment where interruptions may be frequent.
    • Maintain strict confidentiality as defined by hospital policy.
    • Adapt to variations in scheduling (including but not limited to overtime, work schedule changes or low census).
    • Calculate figures and amounts such as discount interest, proportions percentages, and volume.
    • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
    • Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
    • Effectively present information in one-one and small group situations to patients, patients’ representatives, and other employees of the organization.
    • Type, operate a computer, and a familiarity of medical terminology.

PRIMARY DUTIES:

  • Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
  • Process appeals online or via paper submission.
  • Assist in reconciling deposit and patient collections.
  • Assist with billing audit related information.
  • Attend provider meetings/ workshops when needed; Communicate with billing and credentialing coordinator to identify and resolve audit review issues.
  • Process billing calls and questions from patients and third-party carriers.
  • Answer/respond to correspondence related to patient accounts. Answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
  • Communicate daily with internal and external customers via phone calls and written communications.
  • Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Supervisor.
  • Maintain patient confidence and protects medical office operations by keeping patient information confidential.
  • Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible and courteous environment.

Full-time, day shift, no weekends, no holidays!

BENEFITS:

  • Medical
  • Dental
  • Vision
  • Life Insurance & Disability
  • 403(b) matching
  • Vacation Time
  • Sick Time
  • FSA
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