Collections Specialist CBO

HCA Healthcare; Dallas (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

HCA Healthcare’s North Texas Central Business Office seeks a Collections Specialist to manage patient services follow-up and collections. You will obtain payment from payers and self-pay accounts to improve cash flow under supervision of the Business Office Manager/ Supervisor.

You will handle accounts receivable, insurance follow-ups, denials, and negotiate payment arrangements, while ensuring accurate documentation and timely reporting to leadership.

Qualifications

• Minimum (1) year of experience in a medical office setting (ambulatory surgery center, hospital, doctors office) preferred
• Knowledge of managed care payers and medical terminology is preferred

Responsibilities

• Manage assigned accounts receivable to drive timely payment, reduce outstanding balances, and minimize bad debt
• Perform consistent, timely follow-up on insurance and self-pay accounts to resolve outstanding balances and secure reimbursement
• Contact insurance carriers, patients, and other responsible parties to resolve unpaid and disputed accounts
• Identify and resolve billing, coding, EOB, and claim issues that delay payment
• Follow up on insurance denials and coordinate with coders and physicians to obtain reimbursement
• Negotiate payment arrangements on self-pay accounts in accordance with established policies and guidelines
• Monitor aging accounts and initiate appropriate collection actions, including referral of qualifying accounts to outside collection agencies
• Reconcile accounts placed with outside collection agencies and monitor collection activity
• Maintain accurate documentation of collection activity and update patient accounts and AdvantX as required
• Serve as a liaison for third-party payer accounts, including Medicare and Medicaid, and address issues affecting reimbursement
• Identify and elevate contractual or payer issues that may impact collections
• Prepare and provide weekly collection and A/R reports to leadership
• Maintain A/R days and bad debt within established organizational goals
• Follow established collection best practices and timelines for initial and ongoing account follow-up
• Perform other duties as assigned based on operational needs

Job description

Do you want to join an organization that invests in you as a CBO Collections Specialist? At North Texas Central Business Office, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary And Qualifications

As a Collections Specialist, you will contribute to the company’s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.

What you will do in this role:

• Manage assigned accounts receivable to drive timely payment, reduce outstanding balances, and minimize bad debt.
• Perform consistent, timely follow-up on insurance and self-pay accounts to resolve outstanding balances and secure reimbursement.
• Contact insurance carriers, patients, and other responsible parties to resolve unpaid and disputed accounts.
• Identify and resolve billing, coding, EOB, and claim issues that delay payment.
• Follow up on insurance denials and coordinate with coders and physicians to obtain reimbursement.
• Negotiate payment arrangements on self-pay accounts in accordance with established policies and guidelines.
• Monitor aging accounts and initiate appropriate collection actions, including referral of qualifying accounts to outside collection agencies.
• Reconcile accounts placed with outside collection agencies and monitor collection activity.
• Maintain accurate documentation of collection activity and update patient accounts and AdvantX as required.
• Serve as a liaison for third-party payer accounts, including Medicare and Medicaid, and address issues affecting reimbursement.
• Identify and elevate contractual or payer issues that may impact collections.
• Prepare and provide weekly collection and A/R reports to leadership.
• Maintain A/R days and bad debt within established organizational goals.
• Follow established collection best practices and timelines for initial and ongoing account follow-up.
• Perform other duties as assigned based on operational needs.

Qualifications you will need:

• Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
• Knowledge of managed care payers and medical terminology is preferred

Benefits

North Texas Central Business Office offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counselling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.