Credit Collection Specialist (Bilingual English/Spanish Required)

Position Summary:

The Collections Specialist is responsible for collecting self-pay balances on open accounts.

Essential Functions of the Job:

• Reviews and insures the accuracy and the completeness of online accounts Promissory Notes or other signed documents by the guarantor to ensure accuracy and completeness prior to billing guarantor in an electronic work-list environment
• Generates computer letters for all patient balances including co-pay and deductibles for self-pay
• Performs accounts analysis at request of client including calculation of all disallowances or other allowances take on accounts that may have affected current guarantor's balance due
• Performs and completes request for adjustments required prior to billing
• Prepares all forms and obtains all approval signatures required to assign accounts to the collections agency
• Follows up on unpaid accounts as assigned
• Follows up on Incorrect address/Returned mail as assigned
• Responsible for demonstrating control of assigned accounts receivable through measurable improvement reporting
• Must maintain accounts receivable at or below goal on a consistent basis
• Responds to all telephone inquiries in a timely and courteous manner
• Responds to all Billing email inquiries in a timely and courteous manner
• May be required to prepare or generate and print computer reports for supervisor to review
• May be called upon to perform special projects and participate in internal and external audits
• Attends meeting and training classes as required by the department or management
• Adheres to established departmental and facility policy and procedures, objectives, quality assurance program, safety and infection control standards

Additional Duties and Responsibilities:

• All duties as assigned by the Director of Revenue Cycle, Business Services Manager or Billing Supervisors

Job Requirements

Experience Required:

• Must have a minimum of 2 years of prior medical and/or hospital Medicare/Medi-Cal claims billing experience

Education Required:

• High School Diploma or GED equivalent

Verbal and Written Skills Required to Perform the Job:

• Bilingual (English/Spanish) required
• Good oral and written communication skills
• Provides positive customer service skills
• Must have adequate verbal and written skills to explain statements to guarantors

Technical Knowledge and Skills Required to Perform the Job:

• Must possess adequate math skills to effectively work debits and credits
• Must demonstrate good knowledge of Medicare and third-party rules & regulations
• Knowledge and familiarity with CPT and ICD-10 coding and terminology

Equipment Used:

• General office equipment to include PC and Software (Excel, Word, Office), phone, fax, etc.

Working Conditions and Physical Requirements:

• Sedentary work requires sitting and use of the PC most of the day

Universal Requirements:

Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.