Collections Specialist - Healthcare jobs in Pennsylvania

Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts.

• Request and process all bills to third party payors and patients, maximizing re-imbursement of services provided to achieve established hospital goals.
• Responsible for accurate and timely data entry of charges, payments, adjustments and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
• Responsible for timely follow-up to insurance companies on billing submitted in order to allow for an effective and efficient cash flow of hospital receivables.
• Balance A/R and maintain supporting reports as per department policy.
• Retrieve and perform electronic billing to insurance companies in a timely manner.
• Make follow up calls to insurance companies and guarantors as required.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High School Diploma or GED required. Minimum of one-year experience in either medical or third party billing/collections required. Compensation is based on experience.

• Must have good verbal and written communication skills
• Must be detail oriented
• Proficiency in Microsoft Offices and knowledge of healthcare billing is required
• Must be able to work individually as well as within a team setting

Skills

• Attention to Detail
• Written Communication
• Oral Communication

Behaviors

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)