Tennessee Orthopaedic Alliance

  • Collection Specialist

    Job Locations US-TN-Nashville
    Posted Date 18 hours ago(1/23/2019 11:14 AM)
    Job ID
    2018-1489
    # of Openings
    1
    Category
    Central Business Office
  • Overview

    There are a number of reasons why TOA is an employer of choice, here are a few of them:

     

    Stability:TOA has been in Middle Tennessee since 1926 and has expanded to 20+ locations!


    Impact: TOA’s team members use our careers – whether in our clinics or our business office – to make a positive difference in the community by building relationships, and helping patients live their best life.


    Work Environment: The TOA team focuses on fostering an excellent working environment, one of positivity, job satisfaction, and engagement.


    Total Rewards: TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit sharing match to go along with your contributions.

    Responsibilities

    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 understands the importance of interpersonal communication and customer service in direct conversations with TOA patients and their designated representatives.
    • Utilize NextGen to perform follow-up on assigned outstanding accounts receivables
    • Contact 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 as 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.
    • Assist  with a variety of projects and performs other duties as assigned.

    Qualifications

    • Demonstrated success in a revenue cylce or healthcare business office environment, specifically with self-pay or insurance collections.
    • Exceptional focus on Customer Service.
    • Strong, positive, telephone communication skills 
    • Ability to read and understand payer remittance advices
    • 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.
    • Ability to organize and prioritize day-to-day tasks to keep work assignments current.
    • Strong mathematical skills to accurately apply discounts and to ensure correct patient balances
    • Proficient in MS-Excel for analyzing data using basic formulas, pivot tables, and charts.

     

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