Position: Recipient Account Collections Specialist (Remote working mountain time hours)
Location: 100% Remote (United States)
(excluding California, North Dakota, Washington, Wyoming, and Puerto Rico)
We are seeking a highly skilled and compassionate Recipient Account Collections Specialist to join our client's team. In this role, you will be responsible for managing patient balances, handling patient interactions, and ensuring accurate payment processing and collections in line with the organization's standards and policies.
This is a contract to hire position with a strong possibility of going permanently paying between $23-$28/hourly based upon experience
Key Responsibilities:
- Review newly opened patient balances daily to ensure accurate processing based on the member's insurance benefits and apply patient payments before billing patients.
- Review, understand, and explain a patient's Explanation of Benefits (EOB), including in-network and out-of-network benefits, coinsurance, deductible, and provider contractual.
- Ensure compliance with medical billing and collection processes and maintain knowledge of A/R principles and 3rd-party collections practices.
- Stay familiar with Revenue Cycle Management, medical terminology, and claims processing guidelines.
- Take inbound calls and transfers to address questions related to open balances, account credit holds, and other account issues.
- Collaborate with cross-functional teams and patients to resolve issues effectively and efficiently.
- Place and release credit holds on accounts as patient balances/unreturned equipment are resolved.
- Learn and support payment processing and reporting tasks, ensuring accuracy and timeliness.
- Become proficient in Oracle, Salesforce, CollecPlus, and Brightree to effectively navigate, locate, and document information for resolving patient and cross-functional inquiries.
- Show compassion and empathy when communicating with patients, maintaining a respectful and always caring demeanor.
Requirements:
- Bachelor's degree or equivalent work experience with 1-2 years of relevant experience; OR High School diploma/GED with 5+ years of experience in a related field.
- Working knowledge of medical collections processes and basic A/R principles.
- Familiarity with 3rd-party collections practices.
- Familiarity with Revenue Cycle Management and medical terminology.
- Understanding of claims processing guidelines and federal insurance regulations.
- Ability to read, understand, and explain Explanations of Benefits (EOB), including in-network and out-of-network benefits, coinsurance, deductible, and provider contractual.
- Knowledge of health insurance plans, Medicare, Medicaid, and EOBs.
AimHire is an equal opportunity employer.