COLLECTIONS SPECIALIST

Morris-Hospital; Morris (IL); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Paid time off

Life insurance

Disability coverage

Nurse residency program

Wellness program

Health club / gym membership

Job summary

Morris Hospital in Morris, IL is seeking a Collections Specialist to manage insurance and self-pay accounts within a fast-paced, goal-oriented department. You will follow up on claims, resubmit per payor guidelines, and work to maximize revenue cycle accuracy in coordination with the Patient Financial Services team.

The role emphasizes reducing delinquency, establishing payment plans, and providing excellent customer service.

Qualifications

• High School diploma or equivalent is required.
• Typing, computer entry and other clerical skills and experience required.
• Knowledge of medical terminology.
• Knowledge of patient access / financial services process.
• Strong working knowledge of Medicare, Medicaid, Blue Cross and commercial insurance billing is required.

Responsibilities

• Follow up on insurance and self-pay accounts in a fast-paced collections environment.
• Resubmit claims per government and third party payor guidelines.
• Analyze Morris Hospital contracts to improve revenue cycle capture and reconcile payments.
• Establish payment arrangements on self-pay accounts.
• Refer delinquent accounts to collection agencies.
• Monitor and reduce delinquency on assigned accounts.
• Provide customer service regarding collection issues and process refunds/adjustments.

Skills

Typing

Clerical skills

Computer entry

Medical terminology

Patient access process

Medicare/Medicaid knowledge

Insurance billing knowledge

Education

High School diploma or equivalent

Job description

Duties include accurate and timely follow-up on insurance and/or self payaccounts in a fast paced goal oriented collections department. The Collections Specialist adheres to government and third party payor guidelines when resubmitting claims, improves revenue cycle capture accuracy as a result of analyzing applicable Morris Hospital contracts and reconciling to payments received, resolving denials, and appealing claims. Responsibilities also include establishing payment arrangements on self pay accounts, referring delinquent accounts to a collection agency, and maintaining third party follow-up. This position is responsible for identifying and reporting inefficiencies and opportunities that enhance the revenue flow. The Collections Specialist provides customer service regarding collection issues, process payer and customer refunds, process and review account adjustments, resolve client discrepancies and short payments. They are responsible for monitoring and maintaining assigned accounts, account adjustments, small balance write off, customer reconciliations, accountable for reducing delinquency for assigned accounts, perform other assigned tasks and duties necessary to support the Patient Financial Services Department.

QUALIFICATIONS

Professional/Educational

High School diploma or equivalent required.

Typing, computer entry and other clerical skills and experience required.

Personal

Knowledge of medical terminology.

Knowledge of overall patient access / financial services process.

Strong working knowledge of Medicare, Medicaid, Blue Cross and commercial insurance billing is required.

Actual pay will be determined by qualifications, experience, and internal equity.

Morris Hospital & Healthcare Centers offers a comprehensive benefit package including:

• Paid time off
• Life insurance
• Disability coverage
• Nurse residency program
• Wellness program
• Health club / gym membership reimbursement