The Collections Specialist is responsible for managing patient accounts receivable, insurance follow-up, collections activities, and payment arrangements while maintaining a high level of customer service and compliance. This role works closely with patients, insurance carriers, collection agencies, and facility leadership to ensure timely payment resolution and accurate account management.
Accounts Receivable & Collections
- Manage outstanding patient accounts by establishing payment arrangements, monitoring payment activity, and following up on missed or delinquent payments.
- Maintain and monitor the facilitys Accounts Receivable (AR) reports to ensure timely collection and resolution of outstanding balances.
- Process patient accounts based on aging, balance amounts, and collection priorities.
- Review account notes and payment histories to determine whether special payment arrangements are in place.
- Work directly with patients to establish payment plans in accordance with company policies.
- Implement approved payment arrangements and refer special requests to the Business Office Manager for review and approval.
- Advise the Business Office Manager of patient balances exceeding 90 days without payment.
- Mail collection letters and account notifications to patients as necessary.
- Accurately document all verbal and written patient communications within the billing system.
- Respond to patient inquiries regarding account balances, billing questions, payment options, and account status in a professional and courteous manner.
Insurance Follow-Up
- Contact insurance companies regarding payment discrepancies, denied claims, underpayments, and outstanding balances.
- Follow up with insurance carriers on delinquent accounts and unresolved claims.
- Run weekly reports on outstanding insurance accounts receivable.
- Contact insurance companies to determine the status of all accounts over 45 days old, or as required by state prompt-payment regulations.
- Submit supporting documentation requested by insurance companies to assist with claim resolution.
- Document all insurance-related communications and account activity within the billing system.
- Provide monthly reports to the Business Office Manager regarding claims outstanding for more than 90 days.
- Maintain Accounts Receivable balances within established center goals and performance standards.
Collection Agency Management
- Manage relationships with collection agencies and serve as the primary point of contact regarding assigned accounts.
- Prepare and submit eligible accounts to collection agencies for further collection efforts.
- Monitor collection agency performance to ensure accounts are handled professionally, accurately, and in compliance with applicable regulations.
- Report any discrepancies, concerns, or compliance issues involving collection agencies to the appropriate Business Operations contact.
Additional Responsibilities
- Maintain regular and dependable attendance.
- Attend all required training sessions, educational programs, staff meetings, and compliance updates.
- Perform additional duties and special projects as assigned by management.
Required Qualifications
- High School Diploma or GED required.
- Previous experience in healthcare insurance verification and/or medical billing is required.
- Experience with accounts receivable, collections, insurance follow-up, or patient financial services preferred.
- Proficiency with Microsoft Word, Excel, and electronic billing systems.
- Strong organizational skills with excellent attention to detail.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
- Excellent customer service, communication, and problem-solving skills.
Knowledge, Skills, and Abilities
Cognitive Skills
- Demonstrates strong judgment and decision-making abilities.
- Ability to multitask effectively while maintaining accuracy and attention to detail.
- Recognizes and resolves problems by gathering information, analyzing data, and implementing solutions.
- Interprets and applies policies, procedures, and instructions independently.
Communication Skills
- Communicates professionally and effectively with patients, insurance representatives, physicians, coworkers, and leadership.
- Ability to handle difficult conversations regarding financial obligations with empathy and professionalism.
- Maintains confidentiality when handling sensitive patient and financial information.
- Demonstrates strong verbal and written communication skills.
Teamwork
- Works collaboratively as a member of the healthcare team.
- Promotes a positive and professional work environment.
- Reports safety concerns, policy violations, and workplace hazards through the appropriate chain of command.
- Participates in staff meetings, continuing education, and departmental initiatives.
Mathematical Skills
- Ability to perform basic mathematical calculations involving percentages, decimals, balances, and payment calculations.
- Ability to review and analyze financial reports and accounts receivable data.
Reasoning Ability
- Ability to define problems, gather information, analyze financial data, and determine appropriate solutions.
- Capable of interpreting written instructions, policies, regulations, and billing procedures.
- Demonstrates critical thinking and sound judgment when handling patient accounts and insurance issues.
Work Environment
This position is performed within a professional ambulatory surgery center environment. The center is well-lit, ventilated, and climate-controlled. Employees may work in both office and clinical areas and regularly use computers, billing software, and office equipment. Noise levels are typically quiet to moderate. Staff may work in close proximity to patients and coworkers and may occasionally be exposed to medical environments, infectious materials, cleaning solutions, and other healthcare-related conditions.
Benefits
- Competitive Pay
- Medical, Dental, and Vision Insurance
- Paid Time Off (PTO)
- Work-Life Balance
- Supportive Team Environment
- Opportunities for Professional Growth
If you are interested in joining a team committed to providing exceptional patient care and service, please apply online or submit your resume to rhollis@amsurg.com.
Apply Today and Join Our Team!
Effective November 1, 2021, AMSURG's Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other.
Must pass a background check and drug screen.
We do not discriminate in practices or employment opportunities on the basis of an individuals race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.
We are an equal opportunity employer.