Tennessee Orthopaedic Alliance

Collection Specialist

US-TN-Nashville
2 weeks ago(11/30/2017 5:21 PM)
Job ID
2017-1148
# of Openings
1
Category
Central Business Office

Overview

The Collections Specialist is an important link in the TOA revenue cycle effort.  While most of our collections are through insurance companies, this role focuses on individuals who are in a "self-pay" mode.  The result is a TOA employee who is very familiar with all the revenue cycle and collection specialist duties, but understands the importance of interpersonal communication and customer service in direct conversations with TOA patients and their designated representatives.

Responsibilities

  • Utilize the practice management system to perform follow-up on assigned outstanding accounts receivables. This includes contacting patients to collect on overdue balances
  • Request adjustments per TOA guidelines when necessary to correct the patient balance
  • Work as a mediator to create payment plans that are acceptable to providers and affordable for patients per TOA’s payment plan policies.
  • Adhere to best practices standards in performing day-to-day follow-up tasks. This includes following procedures outlined in the “Accounts Receivable Guide”.
  • Place phone calls to patients or receive phone calls from patients in an attempt to obtain payment, establish acceptable payment arrangements, offer settlement discounts, and/or to acquire information necessary to receive payment from insurance or other sources.
  • Assists with a variety of projects and performs other duties as assigned.

 

Qualifications

 

QUALIFICATIONS AND EXPERIENCE:

  • Demonstrated success in a revenue cylce or healthcare business office environment, specifically with self-pay or insurance collections.
  • The Collections Specialist must have an exceptional focus on Customer Service.
  • Need strong communication skills for patient interaction via phone - must maintain a friendly tone when talking with patients, so as not to appear frustrated, disappointed or impatient. 
  • Must have ability to read and understand payer remittance advices. Includes the ability to differentiate between allowed charges, contractual adjustments, line item denials / reasons, patient responsibility (co-pay, co-insurance, and deductibles), bundled payments, etc.
  • Must be able to meet average expectations for productivity and quality standards
  • Must possess detail orientation, and the ability to recognize patient address changes, typing errors, medical coding mistakes, or other revenue cycle errors.
  • Requires ability to organize and prioritize day-to-day tasks in order to keep work assignments current.
  • The successful candidate will be strong in mathematical skills to accurately apply discounts and to ensure correct patient balances, and shoiuld be proficient in utilizing MS-Excel for analyzing data using basic formulas, pivot tables, and charts.

EDUCATIONAL REQUIREMENTS:

  • College degree is preferred, and a high school diploma required

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