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 environmentGenerates computer letters for all patient balances including co-pay and deductibles for self-payPerforms 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 duePerforms and completes request for adjustments required prior to billingPrepares all forms and obtains all approval signatures required to assign accounts to the collections agencyFollows up on unpaid accounts as assignedFollows up on Incorrect address/Returned mail as assignedResponsible for demonstrating control of assigned accounts receivable through measurable improvement reportingMust maintain accounts receivable at or below goal on a consistent basisResponds to all telephone inquiries in a timely and courteous mannerResponds to all Billing email inquiries in a timely and courteous mannerMay be required to prepare or generate and print computer reports for supervisor to reviewMay be called upon to perform special projects and participate in internal and external auditsAttends meeting and training classes as required by the department or managementAdheres 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 RequirementsExperience 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) requiredGood oral and written communication skillsProvides positive customer service skillsMust 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 creditsMust demonstrate good knowledge of Medicare and third-party rules & regulationsKnowledge 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.