Collection Specialist - Full Time

Cataldo Ambulance Service Inc.; Somerville (MA); On-site; USD 40,000 - 60,000; Full time

Job summary

Cataldo Ambulance Service Inc. is seeking an experienced Collections Specialist to manage overdue accounts and ensure compliance with regulations. You will be responsible for resolving insurance-related billing issues, contacting clients about delinquent accounts, and maintaining accurate records of all actions taken.

The role requires a high school diploma or GED, with 3-5 years of Accounts Receivable experience, preferably in medical billing. Strong interpersonal skills and knowledge of HIPAA are essential.

Qualifications

• 3-5 years experience in Accounts Receivable follow up.
• Proficient with Microsoft Office applications.
• Prior experience with Ambulance/EMS/Medical billing preferred.

Responsibilities

• Manage overdue accounts receivable by contacting customers.
• Resolve insurance-related billing issues.
• Document collection actions and maintain accurate account records.

Skills

Knowledge of HIPPA and Healthcare standards

Familiarity with Medicaid and Medicare Guidelines

Ability to resolve issues quickly and efficiently

Strong interpersonal skills

Education

High school diploma or GED equivalent

3-5 years Accounts Receivable follow up experience

Tools

Microsoft Office (Excel and Word)

Zoll Rescue Net

Job description

Cataldo Ambulance Service is seeking an experienced Collections Specialist to join our current team!

The Collection Specialist manages overdue accounts receivable by contacting customers, negotiating payment plans and documenting actions to recover outstanding debts. They are responsible for reconciling payment discrepancies, reducing delinquency, maintaining accurate account records, and ensuring compliance with regulations.

Key Responsibilities

• Resolve insurance related billing issues with patients and/or insurance carriers
• Serve as primary representative for patient inquiries/calls
• Contacting clients via phone, email, and mail regarding delinquent accounts to secure payment as required within a reasonable timeframe.
• Promptly and expeditiously responds to customer inquiries, resolving discrepancies, processing and reviewing account adjustments.
• Manages accounts by reviewing and updating account statuses, identifying delinquencies and resolving billing disputes.
• Maintains documentation accurately with detailed records of all collection actions, communications and payments.
• Prepare ageing reports, processing payments and conducting skip tracing to assist in location services.
• Provides high level problem solving, to assist clients with identifying alternative payment options and payment plans.
• Adheres to legal standards and company policies regarding debt collection practices and processes.
• Maintains knowledge of government and commercial insurance and Credit & Collections policies
• Proficient in the Identification of needs and requests rebills to insurance, utilizing available resources to obtain updated information and reissue correspondence.
• Maintains confidentiality of patient information while on the phone or in-person
• Consistently maintains aged invoices utilizing various reports and the collection module using Zoll Rescue Net
• Clearly communicates potential problems and concerns that may affect collections in a timely and discrete manner.
• Consistently meets and maintains productivity goals and defined benchmarks on a weekly basis.
• Additional projects and responsibilities as assigned and requested.
• Maintains knowledge of and complies with all company policies, procedures, and guidelines at all times.

Education & Experience

• High school diploma or GED equivalent.
• 3-5 years Accounts Receivable follow up experience
• Prior experience with Ambulance/EMS/Medical billing preferred
• Previous Collections and Customer Service experience preferred

Knowledge, Skills and Abilities

• Knowledge of HIPPA and Healthcare standards
• Familiarity with Medicaid and Medicare Guidelines
• Working knowledge of Web based applications and Microsoft Office, including Excel and Word required
• Communicate effectively, both verbally and in writing; ability to understand and carry out verbal and written instructions.
• Analytical skills to gather and interpret data
• Ability to exercise sound judgment and discretion at all times
• Strong interpersonal skills
• Excellent organization skills: attention to detail and follow-through
• Resolve issues quickly and efficiently
• Able to multitask, take charge and ownership of tasks
• Ability to work independently and in a team setting
• Handle highly confidential information with complete discretion
• Ability to work in a Fast paced, high demand environment

Requirements

• Must be minimum of 18 years of age
• Ability to meet the essential duties and physical, mental and sensory requirements of the position at all times.
• Comply with UDS drug screening at any and all times
• Completion and receipt of satisfactory background check and MA CORI (Criminal Offender Record Information), verification may be required annually.

The physical demands described here are representative of those that must be met and maintained by an employee to successfully perform the essential functions of the job.

Physical, Mental and Sensory Requirements

Primarily requires high manual dexterity, near-acuity vision for screen work, and the ability to sit for extended periods (roughly 80% of the day) while handling, typing, and reaching for documents. Mental requirements include strong organizational, communication, and multitasking skills. Physical tasks occasionally involve bending and occasionally lifting up to 10-25 pounds.