Medical Collections Specialist

Job Description

Job Description

Eyecare Services Partners is searching for a skilled, full-time Medical Collections Specialist. Great work hours, no late evenings, no major holidays, a robust benefits package, a team-oriented working environment where you are seen, heard and respected as well as clear, attainable career ladder opportunities.

You must bring at least one to two years of experience in medical collections experience to be considered for this position. Revenue cycle/cash posting experience preferred.

EyeCare Services Partners (ESP) is creating the nation’s leading eye care services company in both quality and scale by consolidating ophthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. Eyecare Services Partners selects best-in-class Ophthalmic and Optometric practices that are focused on essential eye health issues. Our practice groups excel in the utilization of advanced technology and processes to provide safe and optimal outcomes for our practices. ESP and our associated practices represent a community of dedicated leaders, compassionate providers and surgeons, plus highly skilled clinical teams supporting communities and their eye care needs.

All of us at Eyecare Services Partners are committed to inclusion and belonging. We believe today more than ever that creating an environment where everyone can bring their authentic selves to work and make it easy for others to do the same will benefit us all. It isn’t speaking the words, but starts with a culture of caring, listening and service. We would thoroughly enjoy meeting with you and discussing our employment opportunities.

The Medical Collections Specialist is responsible for the full cycle pursuit of investigating and resolving open invoices and credits related to patient responsibility encounters. This position will conduct extensive research in multiple software platforms to resolve outstanding balances in accounts receivable.

Responsibilities: 

• Identify and prioritize outstanding balances based on aging buckets assigned for collections
• Research and resolve open invoices and credits by utilizing company software and tools
• Recognize and communicate trends in problematic accounts related to payers or specific patient accounts to management
• Work all monthly-predetermined balances through adjudication and resolution for the patient portion
• Document all efforts to resolve balances utilizing designated software and reports
• Build and maintain effective relationships with team members and representatives of commercial and state payers relevant to your open balances
• Review patient statement count, utilize collection letters, and or additional efforts as needed related to software, and documentation to patient account for collection
• Promptly reply to inquiries made by employees regarding your assignments
• Handle incoming inquiries by phone, email, or task from patients and/or practice staff regarding patient balances due
• Research accounts as needed to ensure balances are correct
• Obtain, enter, and bill insurance payers as needed with information supplied during interactions with patients and/or practice staff
• Research accounts with credit balances; initiate refund requests for accurate credit balances per company guidelines
• Review statement reports for accuracy of balances and identifies accounts needing escalated collection action

Qualifications:

• High school diploma is required
• Undergraduate degree preferred
• Revenue cycle/cash posting experience preferred
• Customer service experience required
• Experience in NextGen is preferred
• Analytical problem-solving skills
• Strong attention to detail
• The ability to read and understand an EOB, (ex. allowable, disallowable)
• Effectively manage multiple priorities
• Proficient computer skills including experience with Microsoft Excel and the internet
• Effective communication with peers, managers, and all individuals affiliated with the company
• Ability to work well in a team environment
• Deadline driven

In Turn We Will Offer:

• Benefits to full-time team members that include comprehensive medical, dental and optical coverage, 401K and short- and long-term disability
• Company paid life insurance
• Paid holidays and generous paid time off
• Paid parking where applicable
• Team oriented working environment where you are heard and respected
• Clear career ladder opportunities

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