Location
Framingham, MA | United States
Job description
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence . Our sunny corporate office is conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office! Workout center available in the building! PPO Medical, Dental, and Vision plans available as well as a generous PTO policy.
We are seeking a highly professional and organized Reimbursement Specialist - Facility Collector with outstanding customer service and communication skills. The Reimbursement Specialist - Facility Collector is responsible for the collection and resolution of outstanding Facility and Self Pay Accounts Receivable balances for services rendered to patients.
- Reduce outstanding Facility and Self Pay Accounts Receivable balances through focused daily efforts to increase cash collections and reduce bad debt
- Submit invoices and other required documentation to facility contacts via mail, email or fax
- Develop working relationship with facility contacts responsible for processing invoices for payment
- Perform ongoing review of facility outstanding balances and make daily calls to facility contact to request payment commitment and/or expected check amount and issue date
- Make daily calls to patients or financial responsible parties to request payment of unpaid Self Pay invoices
- Accept and process credit card payments via payment portal
- Obtain updated demographic and/or insurance information and verify new insurance coverage on insurance websites prior to rebilling charges
- Accurately and clearly document all interactions with patient, responsible party, nursing home business staff or insurance representative on the patient account in the billing system
- Evaluate and promptly respond to written billing inquiries from patient or their representative to resolve billing issues
- Meet or exceed daily collection call production goals
- Assists with various other duties and/or projects as needed
- High school diploma required; Associate’s degree preferred
- 1-3 years in a medical or physician office setting
- Prefer candidates with experience in healthcare billing, collections, or eligibility/insurance verification
Skills:
- Knowledge of Medicare, Medicaid and other third party insurance billing practices and regulations
- Ability to read and understand insurance EOB’s (Explanation of benefits)
- Working knowledge of medical terminology, CPT and ICD10 codes
- Excellent interpersonal and communication skills, outgoing personality with a professional demeanor and positive attitude
- Commitment to excellence and high quality standards and providing highest quality service to customers
- Strong time management and organizational skills with ability to effectively multitask and meet deadlines
- Excellent attention to detail with exceptional follow-up, problem-solving and analytical skills
- Exhibit courteous, compassionate and respectful treatment of internal and external customers.
- Demonstrates flexibility in adapting to changing situations
- Self-motivated, quick learner who works well independently and, in a team, setting with minimal direct supervision
- Strong work ethic with exemplary attendance record
- Knowledge of HIPAA regulations and patient privacy rules
- Strong computer skills, proficiency with Excel, Outlook and Word and Medical Billing Software
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