Collection Specialist

Job Summary and Responsibilities

As a Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization.

Every day you will expertly communicate with clients to resolve outstanding balances, meticulously document interactions, negotiate payment arrangements, and diligently follow established protocols to ensure timely and effective collection efforts.

To be successful, you will demonstrate outstanding communication skills, strong negotiation abilities, and a persistent, empathetic demeanor, contributing to positive client relationships and efficient revenue recovery.

* Maintains average QA percentage at a rate established for the Fiscal Year goal.

* Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views. Maintain productivity percentage at a rate established for the Fiscal Year goal.

* Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R. All denied accounts to be worked via the rejection views and have accurate action taken assigned for completion.

* Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that address the needs of internal/external customers.

* Documents on system all action taken on account so that it clearly communicates action taken.

* Demonstrates knowledge and use of ETM, GE Centricity Business, and other related PBS Software.

Job Requirements

Required

* High School Diploma or GED

* Three (3) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Includes health plan physician claims/reimbursement/appeals experience)

* AHCCCS/ Medicare/ government commercial payer experience

* HCFA1500 billing experience

* Knowledge of insurance plan intricacies

* Current knowledge of CPT/HCPC and revenue codes

* Knowledge of collection guidelines and regulations

* Previous experience with computerized billing system, MS Word and Excel

Preferred

* College level business courses

* Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Includes health plan physician claims/reimbursement/ appeals experience.)

* Two (2) years relevant college education plus experience

Where You'll Work

Hello Humankindness

Where Your Passion Meets Purpose: Join Dignity Health Medical Group

Are you a healthcare professional who believes that every patient deserves not just treatment, but unwavering compassion? Do you envision a world where healthcare isn't just a service, but a fundamental right, delivered with integrity and innovation? If so, then Dignity Health Medical Group (DHMG) is where your career finds its true calling.

At Dignity Health Medical Group, you're not just filling a role; you're becoming an architect of healthier communities. We are the employed physician group of Dignity Health Arizona, and our success isn't just measured in numbers, but in the lives we touch and the advancements we champion.

Here's what sets us apart and why you belong with us:

* Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals. From cutting-edge diagnostics to life-changing treatments, your expertise will directly contribute to improved health outcomes.

* A Culture of Growth and Innovation: We don't just practice medicine; we advance it.

* Shaping the Future of Healthcare: DHMG is deeply invested in preparing tomorrow's healthcare providers. We seamlessly blend clinical services with translational and bench research, creating a dynamic environment that augments medical education for residents and students.

* Values-Driven Mission: We are united by a powerful set of principles. If you are deeply committed to social justice, health equity, and are prepared to deliver care in new, innovative ways, your values align perfectly with ours. We believe that everyone, regardless of background, deserves access to high-quality healthcare, and we actively work to make that a reality.

* A Supportive and Collaborative Environment: We believe in building a strong, inclusive team where everyone feels valued and respected.

Are you ready to transcend the ordinary and join a healthcare family where your skills are celebrated, your voice is heard, and your passion for healing finds its ultimate expression?

If you're eager to contribute to an organization that is making a profound difference, where innovation meets compassion, and where your commitment to social justice and health equity will be not just welcomed, but celebrated - then Dignity Health Medical Group is waiting for you.