Sevita · 7 hours ago

Senior Collections Specialist - Remote

Boston, MA

Full-time

Remote

Mid, Senior Level

$53K/yr - $63K/yr

4+ years exp

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Responsibilities

Searching for candidate to explicitly work on patient responsibility collections and balances.

Develop workflow for supporting patient responsibility balances

Communicate externally with consumers about outstanding balances and facilitate collections

Update and maintain procedures and other reference materials as necessary

Review collection notes to ensure completeness and accuracy

Resolve complex claims issues

Review patient responsibility claims prior to sending statements, escalate/resolve issues with clients, identify issues/trends, and bring to the attention of management as needed

Conduct and/or participate in AR reviews with key stakeholders

Produce, maintain, and distribute reports for analysis upon request from management

Participate in the integration of newly acquired businesses and newly opened programs into the AR process

Review unapplied cash log for any items that can be applied and work with cash team to resolve

Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution

Review outstanding AR balances and make recommendations for bad debt reserves

Ensure internal control compliance with all assigned areas and other audit requirements

Assist in the onboarding of new hires and provide training and technical assistance to the assigned worker(s) as needed

Maintain an effective control environment for the accounting operations

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical CollectionsMedical Collections ComplianceICD-10 CodesCPT CodesUB-04 FormsHCFA-1500 FormsMedicareMedicaidCommercial PayersWorkers CompAuto-no-fault PayersCredible EMRHighly OrganizedMicrosoft Office

Required

High school diploma or equivalent required

Minimum 4 years of experience with Medical Collections in a high-volume environment

Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp, and Auto-no-fault payer types

Strong analytical skills with the ability to collect information from multiple sources

Highly organized

Exceptional attention to detail and strong communication skills

Effectively use Microsoft Office