Medical Collections Specialist (Education)

Reports to: Billing Supervisor Department: Front Office
Job Type: Full-Time FLSA Status: Non-Exempt
Location: Colorado Springs Revised: December 30, 2022
General Purpose
The Medical Collections Specialist supports the Billing Supervisor to ensure patient procedures, and payments have been authorized by the insurance carrier, and to ensure timely payment collection from patients and insurance companies.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties/Responsibilities

Request authorizations from insurance companies
Work insurance aged receivable report
Work patient aged receivable report
Obtain, review, and input insurance authorizations and referrals prior to patient services
Follow proper medical and insurance claims processes
Review and verify medical bills and invoices with accounts receivable ledger and patients
Interprets eligibility responses from insurance companies
Work denied claims
Perform basic customer service for routine patient or other inquires

Other Duties/Responsibilities

Assists patients with account and payment questions
Attends team and staff meetings
Performs other duties as assigned.

Supervisory Duties (if any)

None

Job Qualifications
Knowledge, Skills, and Ability:

Knowledge of general ledger accounting principles
General knowledge of insurance companies and agreements with health providers
Ability to use accounting software
Ability to pay attention to detail
Ability to use internet, email, MS Office and other job-related software products
Ability to communicate effectively in writing and orally
Possesses good customer services skill
Ability to work in a focused manner with potential surrounding distractions
Ability to work with minimum supervision
Demonstrates reliability and self-motivation
Ability to be a team player

Education or Formal Training:

High School Diploma Required

Experience:

Prior experience with medical and insurance industry preferred

Working Conditions and Other Conditions of Employment
Working Environment:
This job operates in a fast paced, professional office environment and routinely required the use of standard office equipment such as computers, phones, and photocopiers. Most of the offices are open and modular in layout. Work may involve moderate exposure to ambient or loud noises. In the health center environment, there is potential for contact with blood-borne pathogens and communicable diseases, as well as potential for contact with dissatisfied or abusive individuals. There could be interaction with persons who are mentally ill, disabled, elderly and emotionally upset.
Physical Activities:
These are representative of those which must be met to successfully perform the essential functions of this job.
This is a largely sedentary role but can involve standing or sitting for extended periods of time, bending at the waist, and using hands and fingers to handle and file papers or operate assigned equipment. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus. Employee may also have to lift 10 to 25 lbs. unassisted.
Other Conditions of Employment:

Willingness to submit to mandatory random drug screening
Willingness to accept temporary assignments and ability to drive to and from other office locations.
Reimbursement for mileage will be made at the current IRS rates.

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.