Pre-Collections Specialist

Rowan Diagnostic Clinic, PA; Salisbury (NC); On-site; USD 32,000 - 52,000; Full time

Job summary

Rowan Diagnostic Clinic, PA in Salisbury, NC is seeking a billing coordinator to verify demographics and insurance, obtain authorizations, review balances, and collect payments.

You will document all communications, work with providers and billing staff to resolve issues before appointments, and maintain strong HIPAA privacy practices.

Qualifications

• Ability to understand written sentences and paragraphs in work related documents.
• Familiarity with insurance verification and patient billing processes.
• Knowledge of HIPAA privacy and security practices.

Responsibilities

• Verify demographics and insurance information prior to appointments.
• Verify insurance eligibility and benefits.
• Obtain prior authorizations or referrals when required.
• Review patient balances, copays, deductibles, and coinsurance.
• Estimate patient out-of-pocket expenses and collect payments.
• Document all patient communications and insurance verification in the medical record or practice-management system.
• Coordinate with providers, scheduling, billing, and registration teams to resolve issues before the appointment.
• Protect patient confidentiality and follow HIPAA requirements.

Skills

Adaptability

Oral Communication

Planning/Organizing

Professionalism

Teamwork

Quality Management

Initiative

Cost Consciousness

Safety and Security

Education

High School Diploma

Bachelor’s degree

Job description

Job DetailsJob Location: Salisbury, NC 28144

ESSENTIAL FUNCTIONS:

• Contact patients before appointments to verify demographic and insurance information.
• Verify insurance eligibility and benefits.
• Obtain prior authorizations or referrals when required.
• Review patient balances, copays, deductibles, and coinsurance.
• Estimate patient out-of-pocket expenses.
• Collect copayments, deposits, or pre-service payments.
• Explain financial policies and payment options to patients.
• Document all patient communications and insurance verification in the medical record or practice-management system.
• Coordinate with providers, scheduling, billing, and registration teams to resolve issues before the patient's appointment.
• Identify missing or inaccurate information that could delay billing or reimbursement.
• Protect patient confidentiality and follow HIPAA requirements.
• Provide professional customer service while handling sensitive financial and medical information.
• Other duties as assigned.

QualificationsRequired Competencies

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Able to deal with frequent change, delays, or unexpected events.
• Attitude – Displays passion for job and a can-do attitude.
• Cost Consciousness - Conserves departmental resources.
• Initiative - Takes independent actions and calculated risks.
• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work.
• Departmental Support - Follows policies and procedures; Supports department's goals and values.
• Oral Communication - Speaks clearly and conveys information effectively; Responds well to questions. Gives full attention to what others are saying; Takes time to understand the points being made, asking questions as appropriate; Does not interrupt at inappropriate times.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration.
• Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.
• Teamwork - Contributes to a positive team spirit; Displays a whatever-it-takes approach to job.
• Quality Management - Looks for ways to improve quality; Is accurate and thorough.

Education: High school diploma or equivalent GED, / bachelor’s degree, desired

License/Certifications: none

Language Skills: Ability to understand written sentences and paragraphs in work related documents.