Collections Specialist

Collections Specialist

This position is required to perform all duties of the Collections Specialist. This position will be responsible for resolving overdue bills and all functions related to the collection of payment on patient accounts, to include mailed and verbal correspondence. Collections Specialists are required to maintain acceptable, professional, and ethical standards of Southern Colorado Clinic according to established policies, procedures, philosophy, and objectives.

Duties and Responsibilities

• Review accounts with unpaid claims whose balance has been moved to patient responsibility.
• Contact and correspond with patients via mail, telephone, and EMR patient portal.
• Collection of unpaid patient balances.
• Process refunds to patients with unapplied credits.
• Perform and document comprehensive follow-up activities that facilitate collection attempts.
• Working directly with patients to collection patient payments or set up payment plans.
• Answering patient billing questions and perform patient education when appropriate.
• Refer to outside collections if necessary.
• Maintain work area in a clean, sanitized, and organized manner.
• Follows all Infection Prevention policies and procedures.
• Attends annual required company programs and trainings.
• Attends all regular required department and company meetings.
• Maintains strictest confidentiality.
• Performs all other tasks and projects assigned.

Requirements

• High School Diploma or equivalent required.
• Experience in medical claims revenue cycle.
• Knowledge of medical terminology, claims processing, and insurance regulations.
• Knowledge of the Fair Debt Collections Practices Act (FDCPA) and HIPAA.
• Ability to multitask.
• Strong ethical code of conduct.
• Ability to maintain sensitive confidential information.
• Proficiency with computers and EMR software.
• Autonomous, positive mindset and team player.
• Ability to remain motivated with a positive attitude.
• Disciplined, organized, and detail oriented.
• Willingness to learn and adapt.
• Ability to work with all levels of management and staff in a professional capacity.

Typical Physical Demands

Major activities of this job include sitting for long periods of time, moving from place to place, and light physical effort performed on a level surface. Use of a computer, telephone, writing, and organizational skills. Manual dexterity for use of computer keyboard and calculator, mobility and good vision (includes near acuity and depth perception). May be required to lift and carry items weighing up to 10 lbs., occasionally lift or move up to 100 lbs. with assistance. Requires ability to communicate effectively and have hearing within a normal range. Southern Colorado Clinic will make reasonable accommodations for the known disability of an otherwise qualified individual, unless such accommodations would cause undue hardship to the operation of the Clinic or pose a direct threat to patient or other employees' health and safety.

Typical Working Conditions

Must possess the physical and mental abilities to perform the tasks normally associated with a Collections Specialist. The work environment is indoors in an office / medical clinic setting. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, moving equipment, and other conditions common to a medical clinic environment. Requires working under stress in emergency situations, meeting deadlines, frequent interruptions, and occasionally may involve irregular working hours.

Note: Nothing in this job description implies a contract of employment, nor does it restrict management's rights to assign or reassign duties and responsibilities to this job at any time. This job description is subject to change at any time.

Southern Colorado Clinic (SCC) is an Equal Opportunity Employer. Our policy is clear: there will be no discrimination on the basis of age, disability, sex, race, religion or belief, gender reassignment, marriage/civil partnership, pregnancy/maternity, or sexual orientation.

We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. We welcome all applications from a wide range of candidates. Selection for roles will be based on individual merit alone.

SCC does not accept unsolicited CVs from recruiters or employment agencies. SCC will not consider or agree to payment of any referral compensation or recruiter fee relating to these unsolicited CVs. SCC reserves the right to hire candidates without any financial obligation to the recruiter or agency. All applications must be submitted directly through the job posting or our online portal. Unsolicited CVs sent to hiring managers or via email will be considered property of SCC without obligation to any agency.