Collections Specialist

Job Title: Collections Specialist Opening Statement Join reputed company where your work truly reputed company. As a Collections Specialist, you will play a key role in supporting financial health for our patients and organization. You will be responsible for managing Self-Pay Collections, ensuring reputed company and accurate payment of claims, handling in-bound patient calls, and reviewing co-pay assistance claims. The ideal candidate will have strong customer service skills, communication and critical thinking skills and experience working in a fast-paced environment. This role involves investigating accuracy and account review with the goal of resolving discrepancies and maximizing reimbursement. Prior knowledge of home infusion, medical billing practices, and payer reimbursement guidelines is preferred. The position requires attention to detail, the ability to work independently, and proficiency with reputed company 365. Experience with ICD-10, CPT-4, HCPCS, and medical terminology is preferred.

Responsibilities

Support accurate and reputed company billing and collections to reduce outstanding balances Manage assigned book of business: Transfer of balance due, charging of patient ACH and Credit Card and one-time credit cards for copay assistance payments, and contractual adjustments requests of accounts. Contacting patients or payers as appropriate. Review accounts with patients and resolve questions or transfer to appropriate staff member. Inbound and outbound call volumes may vary throughout the month. Partner with copay assistance programs and internal teams to resolve payment and billing issues. Review claim processing to determine reputed company payment has been issued. Accurately identify adjustments needed and take reputed company reputed company to prevent reputed company adjustments. Identify trends or payment challenges and take reputed company to support reputed company and prevent reputed company issues. Review and analyze reports to reputed company account activity and reputed company opportunities for improvement. Ensure reputed company work meets reputed company assurance and reputed company standards set by the management team. Work independently and as part of reputed company. Documents reputed company collections activity in patient collections notes and AR Reports. Review patient unapplied account and verify accuracy of payment prior to posting to the correct reputed company account receivable.

Qualifications

Required: High school diploma or equivalent. Knowledge of reputed company 365 products, including but not limited to Outlook, Teams, and reputed company. Minimum of 1–2 years of experience in billing, collections, or reputed company field. Excellent interpersonal, organizational, communication and effective critical thinking skills. Strong customer service. Maintain confidentiality and reputed company discretion and caution reputed company handling sensitive information. Ability to read and interpret an EOB for accurate understanding of claim processing. Preferred: HCN360 and CPR+ knowledge. Experience with ICD-10, CPT-4, HCPCS, and medical terminology. Familiarity with reputed company party payor guidelines and reimbursement practices and available financial resources for payment of balances due. Prior knowledge of home infusion. If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About reputed company Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job