Collections Specialist - Healthcare jobs in Tacoma, WA

Medical Insurance A/R Collections Specialist

At Olympic Sports & Spine (OSS), we promote a quality work setting, and we are known for our fun and energetic work environment and for valuing our employees. Our clinics and offices are fun and full of supportive colleagues who all share an interest in creating the best possible place to work. Learn more at www.osstherapy.com.

POSITION SUMMARY:

The A/R collections specialist is responsible for insurance follow-up to ensure accounts have been appropriately billed and reimbursed. Duties include contacting assigned insurance companies to secure and expedite payments through the insurance follow-up and appeals process. Experience in patient accounting functions, including billing, follow-up, collections, patient concerns, cash application, and credit balance resolution preferred.

SUMMARY OF DUTIES:

• Prepare and input allowances and adjustments to patient accounts according to insurance payer requirements and department procedures.
• Access insurance companies' online systems to obtain eligibility and claims processing information.
• Respond to inquiries from patients, insurance companies, government agencies, and other departments. Contact patients and payers by telephone to resolve account balances.
• Analyze unpaid insurance claims to determine appropriate follow-up action to assure payment.
• Analyze insurance contracts for reimbursement accuracy.
• Process appropriate transactions to correct inaccurate account balances.
• Prepare correspondence to address accountability concerns.
• Resolve credit balances through allowances, adjustments, or refunds to patients.
• Participates in educational activities and attends monthly staff meetings.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Extensive insurance billing, follow-up experience,
• Previous experience working in health care insurance follow-up (is preferred, but not necessary),
• Experience in patient accounts receivable/collections (is preferred but not necessary),
• Strong interpersonal skills, sound judgment & decision-making,
• Strong analytical skills.
• Persuasive customer service skills,
• Effective written and oral communication skills,
• Capable of working independently,
• Ability to prioritize and organize daily tasks,
• Ability to always represent OSS professionally,
• Ability to communicate information effectively to payers, clients, and staff,
• Secure patients' demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulation.

BENEFITS:

Check out our benefits page for more information about our Benefits and Rewards.

• https://www.osstherapy.com/employee-benefits
• Matching 401(k)
• Health Insurance
• Dental and Vision Insurance
• Advancement opportunities
• Company-wide celebrations and events!

SCHEDULE:

• Monday - Friday (no weekends) from 8 am to 5 pm.

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