Collection Specialist - Hospital - Fully Remote

Job Summary:
The Collection Specialist is responsible for managing the collection of outstanding accounts for a hospital or healthcare facility. This role involves working directly with patients, insurance companies, and other third-party payers to resolve payment issues, verify insurance information, and ensure that payments are collected in a timely and efficient manner. The Collection Specialist ensures that all billing and collection procedures comply with hospital policies, relevant healthcare regulations, and industry standards.

Key Responsibilities: ? Account Management: ? Monitor and manage overdue accounts by reviewing patient billing records and ensuring that all charges are accurate. ? Follow up with patients, insurance companies, and other third-party payers to resolve outstanding balances. ? Maintain and update patient information in the billing system. ? Communication and Negotiation: ? Contact patients via phone, email, or mail to remind them of outstanding bills and assist with payment arrangements. ? Work with insurance companies to verify claims and resolve discrepancies. ? Negotiate payment plans with patients as needed, ensuring terms are manageable and consistent with hospital policies. ? Dispute Resolution: ? Address billing inquiries and resolve any disputes related to charges or payments. ? Work with the billing and coding departments to ensure the accuracy of medical charges and coding issues. ? Documentation and Reporting: ? Accurately document all communication with patients and payers in the hospital's billing system. ? Prepare regular reports on collection status, payment progress, and outstanding balances for management. ? Compliance and Best Practices: ? Ensure all collection efforts are compliant with applicable healthcare regulations, including HIPAA and other privacy laws. ? Follow hospital policies and industry best practices for patient billing and collections. ? Collaboration: ? Collaborate with other departments, including billing, coding, and finance, to streamline the collection process and resolve issues quickly. ? Work closely with the financial team to assess financial hardships and provide appropriate solutions.

Qualifications: ? High school diploma or equivalent; Associate?s or Bachelor?s degree in Finance, Healthcare Administration, or a related field preferred. ? Prior experience in medical billing, collections, or healthcare finance. ? Strong understanding of insurance processes, medical billing codes, and healthcare payment systems. ? Proficiency in using billing software and Microsoft Office Suite (Excel, Word, etc.). ? Excellent communication, negotiation, and interpersonal skills. ? Strong problem-solving skills and attention to detail. ? Ability to maintain patient confidentiality and handle sensitive information responsibly.

Job Type: Full-time

Benefits:
? 401(k)
? 401(k) matching
? Dental insurance
? Flexible spending account
? Health insurance
? Health savings account
? Life insurance
? Paid time off
? Paid training
? Tuition reimbursement
? Vision insurance
? Work from home

Work Location: Remote

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