Track and manage accounts receivable, ensuring aging amounts remain within targeted levels.
Regularly check the status of submitted claims to ensure timely processing and payment.
Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment.
Prepare and send out patient statements in a timely and accurate manner.
Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements.
Respond to patient and payer's email and phone inquiries regarding their accounts, providing clear and helpful information.
Accept phone payments from patients, ensuring accurate processing and record-keeping.
Monitor Denial Trends and provide timely and accurate resolutions.
Handle complex denials and appeals.
Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts.
Follow team and/or clients proper procedures, policies, and methodologies as instructed.
Performs other related duties as necessary or assigned.

Must have at least 1 year of experience in a BPO or Call Center environment.
Experience with phone collections, particularly on US accounts, is desirable but not required.
Previous experience in Medical Billing or Medical Collections is a plus but not mandatory.
Knowledge of the US healthcare system, including Medicare, Medicaid, commercial payers, and contracted networks, is highly beneficial.
Must possess excellent verbal and written English communication skills.
Able to work from home with reliable internet and a backup connection.

Medical Billing Collections Specialist

Key skills