Impactful Medical 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

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.