Collections Specialist

TheCollections Specialist manages accounts receivable, resolves outstanding patient and insurance balances, and establishes payment arrangements. Arrearage Management: Monitor and resolve aged accounts receivable (A/R) for commercial payers, Medicare, Medicaid, and supplemental policies. Denial Management: Identify, appeal, and resolve denied claims specifically related to oncology services, such as chemotherapy administration, radiation therapy, and complex laboratory billing. Prior Authorization Verification: Review claims against prior authorization approvals to ensure technical billing compliance. Compassionate Collection: Contact patients regarding outstanding self-pay balances using sensitive communication tailored to individuals undergoing cancer treatment. Financial Counseling: Identify patients qualifying for financial assistance, foundation grants, or pharmaceutical co-pay assistance programs. Payment Agreements: Set up and monitor structured payment plans according to practice guidelines. Documentation: Maintain meticulous notes within the Electronic Health Record (EHR) and Practice Management (PM) systems. Compliance: Adhere strictly to HIPAA regulations, Fair Debt Collection Practices Act (FDCPA) guidelines, and internal financial policies. Requirements: Experience: Minimum of 2–3 years of medical collections or billing experience, with a strong preference for oncology, hematology, or infusion center backgrounds. Knowledge Base: Deep understanding of ICD-10, CPT, and HCPCS codes unique to oncology. Software Skills: Proficiency with medical billing software (e.g., OncoEMR, Aria, Epic, or eClinicalWorks) and clearinghouses. #J-18808-Ljbffr