Collections Specialist

Tobii Dynavox LLC; Pennsylvania; Hybrid; USD 42,000 - 64,000; Full time

Job summary

Tobii Dynavox is seeking a Collection Specialist to manage revenue-cycle activities, billing accuracy, and collections from third-party payers including Medicare, Medicaid, private insurance, and other funding sources.

You will work with insurance companies, clients, and customers to resolve collection issues and reconcile accounts, ensuring timely payments and accurate posting across multiple payers.

Qualifications

• 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

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.

Skills

Customer service

Interpersonal skills

Oral communication

Written communication

Time management

Problem solving

Education

High School Diploma

Tools

MS Word

MS Excel

MS Outlook

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. Candidate must live in the Central or Eastern Time zones. Availability to travel four times a year to the Pittsburgh office is required.

JOB 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 / EXPERIENCE REQUIREMENTS:

• 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
• Teaming skills

COMPUTER OR TECHNICAL SKILLS:

• Proficient in M.S. Office Word, Excel, and Outlook
• Able to research claim information via the internet
• Basic data and word processing skills

OTHER SKILLS REQUIREMENTS:

• 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 REQUIREMENTS:

• Ability to work at a desk for prolonged periods of time
• Ability to work with interruptions in a fast-paced environment

We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we’d love to hear from you.

Where we stand:

We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.

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

Join the world leader in assistive communication, where we help people with complex disabilities live up to their full potential by enabling them to express themselves, communicate with others and live more independently.