Collections Specialist

CENTRAL CARE CANCER CENTER; Salina (KS); On-site; USD 42,000 - 62,000; Full time

Job summary

CENTRAL CARE CANCER CENTER is seeking a Collections Specialist to manage accounts receivable, resolve patient and insurance balances, and establish payment arrangements for oncology services in Salina, Kansas.

The role focuses on arrearage management, denial handling, prior authorization verification, compassionate self-pay collection, and financial counseling, with strict HIPAA and FDCPA compliance.

Qualifications

• Minimum of 2–3 years of medical collections or billing experience, preferably oncology/hematology.
• Deep understanding of ICD-10, CPT, and oncology-specific HCPCS codes.
• Proficiency with medical billing software (OncoEMR, Aria, Epic, or eClinicalWorks) and clearinghouses.

Responsibilities

• Arrearage management: monitor and resolve aged accounts receivable for patient and insurer balances.
• Denial management: identify, appeal, and resolve oncology-related claim denials.
• Prior authorization verification: review claims against approvals for billing compliance.
• Compassionate collection: contact patients about self-pay balances with sensitivity.
• Financial counseling: identify patients for financial assistance programs.
• Payment agreements: set up and monitor structured payment plans.
• Documentation: maintain notes in EHR and PM systems.
• Compliance: adhere to HIPAA, FDCPA, and internal policies.

Skills

Medical collections

Healthcare billing

Communication

Tools

OncoEMR

Aria

Epic

eClinicalWorks

Job description

TheCollections Specialist manages accounts receivable, resolves outstanding patient and insurance balances, and establishes payment arrangements.

Arrearage Management:

Monitor and resolve aged accounts receivable (A/R) for commercial payers, Medicare, Medicaid, and supplemental policies.

Denial Management:

Identify, appeal, and resolve denied claims specifically related to oncology services, such as chemotherapy administration, radiation therapy, and complex laboratory billing.

Prior Authorization Verification:

Review claims against prior authorization approvals to ensure technical billing compliance.

Compassionate Collection:

Contact patients regarding outstanding self-pay balances using sensitive communication tailored to individuals undergoing cancer treatment.

Financial Counseling:

Identify patients qualifying for financial assistance, foundation grants, or pharmaceutical co-pay assistance programs.

Payment Agreements:

Set up and monitor structured payment plans according to practice guidelines.

Documentation:

Maintain meticulous notes within the Electronic Health Record (EHR) and Practice Management (PM) systems.

Compliance:

Adhere strictly to HIPAA regulations, Fair Debt Collection Practices Act (FDCPA) guidelines, and internal financial policies.

Requirements:

• Experience: Minimum of 2–3 years of medical collections or billing experience, with a strong preference for oncology, hematology, or infusion center backgrounds.
• Knowledge Base: Deep understanding of ICD-10, CPT, and HCPCS codes unique to oncology.
• Software Skills: Proficiency with medical billing software (e.g., OncoEMR, Aria, Epic, or eClinicalWorks) and clearinghouses.