Collection Specialist, East

Tobii Dynavox®; Pittsburgh (Allegheny County); On-site; USD 42,000 - 55,000; Full time

Job summary

Tobii Dynavox is seeking a Collection Specialist to support the revenue cycle by ensuring timely collection from third-party payers, including Medicare, Medicaid and private insurers. You will collaborate with insurance companies, clients and customers to resolve collection issues and reconcile accounts.

The role requires strong attention to detail, knowledge of medical billing processes, and the ability to manage multiple accounts while meeting productivity and cash targets.

Qualifications

• High School Diploma.
• 2+ years in computer, accounting, collections or high-volume medical billing/insurance claims processing.
• Knowledge of payment posting, contractual adjustments and refunds preferred.
• Knowledge of medical insurance claims procedures and documentation preferred.

Responsibilities

• Manage assigned accounts with billing, collections and payment activity.
• Follow up with payers to ensure payment.
• Investigate denials and coordinate with billers and funding consultants.
• Prepare correspondence, appeals, and review posted payments for accuracy.
• Follow up every 30 days with insurance companies, clients, SPLs, vendors.
• Identify payment issues and recommend adjustments/write-offs with manager approval.
• Ensure compliance with state, federal, and third-party funding regulations.

Skills

Customer service

Interpersonal skills

Teamwork

MS Office (Word, Excel, Outlook)

Data entry / data processing

Problem solving

Time management

Education

High School Diploma

Tools

MS Office Suite

Internet research

Job description

Why Join Us

We’re on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives.

At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose – with the flexibility to also do what truly matters to you outside of work. What’s more, you’ll be part of a work culture where collaboration is the norm and individuality is welcomed.

As a member of our team, you’ll have the power to make it happen. You’ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers’ lives.

Role Summary

The Collection Specialist supports the effective management of the revenue cycle process and ensures the accurate and timely collection of sales to third party payers (including Medicare, Medicaid, Private Insurance, and other funding sources). The Specialist works with insurance companies, clients, and customers to resolve collection issues and reconciles accounts.

Key Responsibilities

• Manage assigned accounts and ensure the timeliness and accuracy of billing, collections, and payment activity
• After an account is billed, the account becomes the Collector’s responsibility. The Collector is responsible for:
  • Verification that a claim is on file
  • Follow up with the payer due to lack of payment
  • Investigation of denials
  • Coordination with the billers to address billing issues
  • Coordination with the funding consultants to address documentation questions
  • Preparation of correspondence, such as appeals, to fight for the payment of accounts, request different denial codes, etc.
  • Review of posted payments for accuracy and investigate differences
  • Document in the system all verbal and written communication relative to collection actions and expected outcomes of overdue accounts
  • Follow up every 30 days with insurance companies, clients, SPLs, and vendors to ensure the payment of accounts
  • Alert the Manager of Collections of potential payment issues
  • Recommend adjustments/write-offs to the Manager of Collections and receive approval prior to reconciling accounts
  • Investigate refund requests related to accounts and complete refund paperwork for accounts that need to be refunded
  • Meet the expectations and goals for productivity and cash targets as set forth by management
  • Stay abreast of state, federal, and third-party funding regulations for assigned accounts ensuring billing and payment practices comply with third party payer requirements
  • Perform various other tasks as assigned

Minimum Qualifications

• Education and Experience:
  • High School Diploma
  • 2 or more years of computer, accounting, collections, and high-volume medical billing and/or insurance claims processing experience
  • Knowledge of payment posting process in regard to contractual adjustments and refunds preferred
  • Knowledge of medical insurance claims procedures and documentation preferred
• Communication Skills:
  • Strong customer service and interpersonal skills
  • Oral and written communication skills
  • Teamwork skills
• Technical Skills:
  • Proficient in MS Office Word, Excel, and Outlook
  • Able to research claim information via the internet
  • Basic data and word processing skills
• Other:
  • Apply independent judgment and manage confidential information
  • Ability to gather data and summarize information
  • Time management and good organizational skills
  • Excellent problem-solving skills
  • Record management
• Work Environment Skills:
  • Ability to work at a desk for prolonged periods of time
  • Ability to work with interruptions in a fast-paced environment

Equal Opportunity Statement

Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.

Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled