
Clinical Patient Balance Resolution Specialist
1 week ago
A Healthcare Collections Specialist is responsible for managing and resolving outstanding patient balances. This role requires strong communication skills, attention to detail, and the ability to work independently in a fast-paced environment.
- Key Responsibilities:
- Review and analyze accounts receivables (A/R) reports to identify unpaid claims or patient balances.
- Perform collection calls to patients/residents to resolve outstanding balances and secure payments.
- Ensure accurate and timely documentation of all collection activities and account updates in the system.
- Communicate professionally and empathetically with patients, clients, and billers.
- Meet or exceed individual and team productivity and quality targets, including call handling metrics, collection goals, and documentation standards.
- Work collaboratively with team members and supervisors to resolve account issues and escalate complex cases appropriately.
- Maintain confidentiality and adhere to HIPAA and data privacy policies at all times.
- Participate in training sessions, team meetings, and performance reviews as scheduled.
- Demonstrate flexibility to adapt to process updates, client requirements, or additional tasks as assigned.
- Required Skills and Qualifications:
- At least 1 year of experience in US healthcare medical billing or collections, preferably in a BPO setting.
- Knowledge of insurance billing processes, claims follow-up, denials management, and EOBs/EOPs.
- Strong communication and negotiation skills with an empathetic but assertive approach.
- Ability to work in a fast-paced, metric-driven environment with minimal supervision.
- Proficiency in MS Office and billing software (SNF Metrics, Transworld etc.).
- Amenable to night shift and flexible working hours based on client requirements.
- Competitive salary and benefits.
- Health Insurance with free dependents.
- 10%-night differential.
- Attendance Bonus.
- Paid time off.
- Convertible to cash leave credits.
- Performance Appraisal.
- Work-life balance.
- A focus on growing your career path with us.
- We encourage you to follow your passions and learn new skills.
- Company Culture:
- Strong culture and values-driven leadership.
- We create opportunities for you to learn and grow at any stage of your career.
- Continuous learning and innovation.
- We foster an all-inclusive environment where everyone thrives.
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