Collections Specialist (bilingual required)
Company: Variety Care, Inc.
Location: Oklahoma City
Posted on: May 16, 2022
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Job Description:
Overview:
Department: - BillingPosition: - Collection SpecialistEmployee
Category: - Non-ExemptReporting Relationship: - Manager of Revenue
Cycle Management -Character First qualities:Decisiveness- The
ability to recognize key factors and finalize difficult
decisions.Dependability- Fulfilling what I consented to do, even if
it means unexpected sacrificeInitiative - Recognizing and doing
what needs to be done before I am asked to do it.Thoroughness -
Knowing what factors will diminish the effectiveness of my work or
words, if neglected.Flexibility - Willingness to change plans or
ideas without getting upset. -Summary of Duties and
Responsibilities:The Bilingual Collection Specialist will be
responsible for working directly with patients and third-party
payers to effectively resolve all unpaid claims. The primary focus
is to maximize revenue for the organization and consistently work
to improve the overall health of the Accounts Receivable (AR).
Responsibilities:
Primary Duties and Responsibilities:Work collaboratively with the
Senior Collection Specialist and the Manager of Revenue Cycle
Management to determine the focus of collection efforts after
running the weekly AR report.Contact third-party payers about
outstanding balances and provide requested documentation to achieve
resolution.Contact patients with outstanding balances to obtain
payment or set up payment plan.Send out patient statements and
collection letters on past due balances.Track and follow-up monthly
on payment plans to ensure compliance.Perform write-offs,
adjustments and refunds as directed.Work closely with the Billing
team to initiate and respond to billing inquiries, requests for
additional information and outstanding balance resolution.Answer
patient calls and billing questions.Process medical records
requests for payers from attorneys.Assist front desk staff with
patient inquiries.Assist front desk staff with obtaining correct
patient addresses.Meet established daily, weekly, monthly and
annual deadlines.Manage and maintain relationships with all payors
to improve patient revenue.Uphold Medicare, Medicaid, and HIPAA
compliance guidelines in relation to billing, collections, and PHI
information.Follow written and verbal instructions from the Manager
of Revenue Cycle Management and Sr. Collection Specialist.Exhibit
professionalism in communication with patients, clients, insurance
companies and co-workers.Participate in special projects as
assigned.Supports Variety Care's accreditation as a Patient
Centered Medical Home and our commitment to provide care to all
Variety patients that is Safe, Effective, Patient Centered, Timely,
Efficient, and Equitable. Provides leadership and work with all
staff to achieve the goals of the "Triple Aim" of healthcare
reform-to improve the experience of care, improve health outcomes,
and decrease healthcare costs.Other duties as assigned.
Qualifications:
Requirements, Special Skills or Knowledge:High School Diploma or
GED is required. Associate degree highly preferred or equivalent
combination of experience and education.Two years prior billing and
collections experience REQUIRED.Fluent in Spanish is a REQUIREMENT.
Must be able to speak Spanish and communicate effectively with the
Spanish speaking patient population.Prior medical billing and
insurance collections or healthcare revenue cycle experience
including diversified experience with payers, managed care
contracts, and payer methodology is preferred.Working knowledge of
CPT codes.Ability to read and understand Explanation of Benefits
(EOB) issued by insurance carriers.Demonstrated mastery of critical
independent thinking, analytics, problem-solving and sound
decision-making skills required.Demonstrated ability to interact
and communicate effectively with individuals at various levels both
inside and outside the organization, often in sensitive
situations.Proficiency and clerical accuracy with Microsoft Office
and practice management software systems.Professionalism,
integrity, responsibility and dependability in a team
environment.Ability to assist and support others in a professional
and respectful manner. -ADA Requirements: - - Must be able to lift
and/or move up to 25 pounds.While performing the duties of this
job, the employee is frequently required to sit, stand, walk and
talk. Frequently required to bend and reach to fulfill job
duties.
Keywords: Variety Care, Inc., Oklahoma City , Collections Specialist (bilingual required), Other , Oklahoma City, Oklahoma
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