PDS Health · 4 weeks ago
Regional Collection Specialist
Ontario, CA
Full-time
Onsite
Mid Level
$69K/yr - $88K/yr
3+ years expPDS Health is a company focused on enhancing healthcare services, and they are seeking a Regional Collections Specialist to assist in collections and train Operation Managers on billing processes. The role involves ensuring claims are billed correctly, coaching team members, and improving collection processes across the organization.
DentalFitnessHealth CareWellness
Responsibilities
Weekly, check all portals; (e.g. Request for Information (RI), and Credit and Claims) to ensure that any missing information is obtained, so that the claims are billed properly; review and take necessary action in the credit portal to ensure meeting Company's credit goals, review and take necessary action in the claims portal for any past due adjustment requests from CBO
Process the Aging Collection Report ensuring complete accounts are properly billed to the patient and insurance. Not just reviewing a point in time date of service, but examining accounts in its entirety
Read and analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria, including; claim tracing and contacting insurance carriers and/or ensuring patients balances are secured as appropriate
Document all actions on accounts in the system. Maintain effective, ongoing communication with CBO on accounts handled
Provide ongoing coaching and training to OM and Benefit Coordinator (BC) one-on-one, or in groups as appropriate
Meet monthly with OMs of assigned region to assist with working though credit and collection reports to increase office collection rate
Communicate trends and suggestions to improve processes to OMs, Regional Managers (RM), Regional Partners (RP) and CBO. Meet with RM at end of month to review accounts sent to collections over Company approval limits and claim adjustments outside of Company policies
Develop systematic approach for process improvement, and effectively coordinate and communicate changes and enhancements
Participate in CBO operations call and any other meetings as required
Ensure compliance with Company policies as well as State, Federal and other regulatory bodies
Maintain an appropriate professional appearance and demeanor in accordance with Company policy
Other duties as assigned by management
Qualification
Required
Equivalent to high school diploma or general education degree (GED), required
3-4 Years of related experience in the dental field, required
Preferred
Bachelor's degree and 3 to 5 years of related experience, preferred
Prior experience as a claims auditor within a group practice environment, preferred
QSI (Quality Systems Inc.) experience, preferred
Benefits
Medical, dental, and vision insurance
Paid time off
Tuition Reimbursement
401K
Paid time to volunteer in your local community
Company
PDS Health
Founded in 1994, PDS Health is a leading healthcare support organization that partners with dental and medical providers across the U.S., providing comprehensive business services that enable clinicians to focus on high-quality patient care.
10001+ employees
H1B Sponsorship
PDS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (5)
2023 (8)
2022 (5)
2021 (9)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
Leadership Team
Stephen Thorne
Founder & CEO
Jeremy Jonckheere
Vice President, Strategic Payor Partnerships
Recent News
New Orleans CityBusiness
2025-09-03
Company data provided by crunchbase