Medical Insurance Accounts Receivable Collections Specialist

Medical Insurance Accounts Receivable Collections Specialist Olympic Sports and Spine (OSS) is looking for an experienced Medical Insurance A/R Collections Specialist. This on‑site position is responsible for medical insurance follow‑up to ensure accounts are 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, is preferred. We want a candidate who excels at working in a fast‑paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients, and seeking a job with no weekends required (Monday – Friday 8 a.m. – 5 p.m.). SUMMARY OF DUTIES Review patient financial information to verify that third‑party payer requirements have been met and financial coding is correct. Audit information on third‑party claim forms for accuracy and completeness; transmit claims to third‑party payers, including using a direct entry claims interface system. Prepare and input allowances and adjustments to patient accounts according to third‑party payer requirements and department procedures. Access major payers’ computer files online to obtain eligibility and claims processing information. Respond to inquiries from patients, third‑party payers, agencies, and other departments. Analyze unpaid third‑party claims to determine appropriate follow‑up action to ensure payment. Analyze third‑party contract reimbursement for accuracy. Contact patients and payers by telephone to resolve account balances. Process appropriate transactions to correct inaccurate account balances. Prepare correspondence to address account concerns. Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow‑up procedure based on departmental guidelines. Analyze financial information provided by patients to determine their ability to make payment; advise patients on appropriate payment plans. Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful. Process according to department procedure accounts which have been identified as returned mail, bankrupt, or deceased patients. Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances. Resolve credit balances through allowances, adjustments, or refunds to patients of third‑party payers. Perform related duties as required. Participate in educational activities and attend monthly staff meetings. KNOWLEDGE, SKILLS, AND ABILITIES Extensive insurance billing, follow‑up experience. Previous experience working in health care insurance follow‑up (preferred, but not necessary). Experience in patient accounts receivable/collections (preferred but not necessary). Strong interpersonal skills, sound judgment & decision‑making. Strong analytical 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 regulations. BENEFITS Check out our benefits page for more information about our Benefits and Rewards: Matching 401(k) Health Insurance Dental and Vision Insurance Company‑wide celebrations and events! SCHEDULE Monday‑Friday (no weekends), from 8 a.m. – 5 p.m. This position is 100% on‑site at our centralized Tacoma billing office. EQUAL OPPORTUNITY STATEMENT We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation. As part of our commitment to maintaining a professional, compliant, and high‑integrity workplace, all employment offers at Olympic Sports & Spine are contingent upon the successful completion of a comprehensive background screening. This process may include, but is not limited to, verification of prior employment and education, a credit check (if relevant to the position), criminal history review, and reference checks. By submitting your application, you acknowledge and consent to this screening process. Please note that any offer of employment will remain conditional until the screening is complete and the results meet the standards set by Olympic Sports & Spine. Olympic Sports & Spine is an equal opportunity employer and conducts all background screenings in compliance with applicable federal, state, and local laws. #J-18808-Ljbffr