Collection Specialist (On-site)

Gonzaba Medical Group; Cassin (TX); On-site; USD 35,000 - 55,000; Full time

Job summary

Gonzaba Medical Group is hiring for a full-time position primarily responsible for maximizing cash flow and minimizing outstanding receivables. Main tasks include interacting with patients and insurances, reviewing accounts, and processing payments.

Ideal candidates have a minimum of 2 years of experience in insurance billing and collections, as well as a high school education. Bilingual ability in English and Spanish is preferred.

Qualifications

• Minimum of 2 years’ experience in insurance billing and collections.
• Six months of medical billing experience in a general medical office.
• Knowledge of insurance contracts and reimbursement rates.

Responsibilities

• Review accounts for accuracy and future appointments for collection.
• Make outgoing calls to patients with outstanding balances.
• Process correspondence and denials from insurance carriers.
• Maintain accuracy and confidentiality in handling patient accounts.

Skills

Insurance billing

Collections

Medical terminology

ICD-9 and CPT-4 coding

Bilingual (English/Spanish)

Microsoft Office Applications

Education

High school education or equivalent

Job description

Job Details

Job Location

933 Pleasanton Rd - San Antonio, TX 78214

Position Type

Full Time

Job Category

Revenue Cycle

General Summary

This position is primarily responsible for performing a variety of duties with the goal of maximizing cash flow and minimizing outstanding receivables and interacting with patients and insurances to secure payment on patient accounts.

Supervisory Responsibilities

This position has no supervisor responsibilities.

General Requirements

All duties performed will be done accurately and in a timely manner.

Essential Job Responsibilities

• Will be reviewing accounts for accuracy and reviewing future appointment to collect balances owed
• Taking and making outbound calls to patients owing balances
• Collects balance owing from third party payers in accordance with state and federal laws governing collection practices.
• Processes correspondence and denials from the Insurance Carrier.
• Posts contractual adjustments as needed.
• Posts write off adjustments after approval from the Director - Business Office.
• Processes payments by credit card.
• Answers calls and correspondence received by patients.
• Requests additional information within the organization such as medical records, explanation of benefits, etc. to appeal claims that have been denied.
• Responsible for Work Aged Accounts Receivable Report.
• Processes refunds as needed.
• Verifies insurance eligibility when needed.
• Review commercial contract reimbursement guidelines for proper claim adjudication.
• Ensure daily productivity standards are met in accordance to documented procedures.
• Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers.
• Able to work efficiently under pressure.
• Maintain strict confidentiality.
• Other duties as assigned.

Qualifications

Education and Training: Minimum high school education or equivalent.

Experience: Minimum of 2 years’ experience in any government and/or commercial insurance billing, collections payment and reimbursement verification and/or refunds. Minimum of six months of medical billing in a general medical office, Knowledge of medical terminology, Knowledge of insurance industry, Knowledge of insurance contracts and reimbursement rates, Knowledge of Medicare's Correct Coding Initiatives preferred, Knowledge of grammar, spelling, and punctuation to type correspondence. Must have knowledge of ICD-9 and CPT-4 coding, medical terminology, 10 key touch and computer skills. Bilingual ability in English/Spanish preferred. Certified Medical Insurance Specialist Preferred.

Other Requirements: Knowledge of Microsoft Office Applications strongly preferred. Word Processing software, database software, spreadsheet, and Internet software.

Work Environment

Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.

Mental / Physical Requirements

Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting to 40 lbs. Close vision and ability to adjust focus.

Additional Information

Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to our culture and core values.

Other Duties As Assigned

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Team members will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve.