Healthcare Collections Specialist

33707
Pasadena, CA
Healthcare Collections Specialist
5 Plus Months

Within Policies and Procedures, and under direct supervision of Managers, these FLEX team resources will be responsible for reconciling aged credit balance accounts for all lines of business; determining disposition and resolving credit balances.
- Researches and follows up on all credit balance accounts for all lines of business.
- Identifies and reconciles accounts to be escheated to the local, state and/or federal authority(s) to comply with regulatory requirements.
- Reviews HealthConnect work queues to determine proper course of action for credit balance resolution by preparing or reversing adjustments, initiating refund requests, reversing charges and requesting transfers if applicable.
- Analyzes explanation of benefits, attorney, insurance and other confidential documentation, including patient statements.
- Escalates any identified trends to department analyst and/or supervisor.
- Facilitates account resolution by corresponding with appropriate parties for resolution of credit accounts via telephone, email and/or US postal mail.
- Distributes and undistributed funds as appropriate.
- Identifies missing charges.
- Analyzes credit balances and computations.

EXPERIENCE REQUIREMENTS
HEALTHCARE EXPERIENCE
- Healthcare Billing and Collection Experience
- Epic HB and/or PB is preferred
- Ability to reconcile account detail
- Ability to identify a credit, and its root cause
- Ability to effectively communicate an opportunity for improvement
- Understand accounting standards and principals
- Understanding of compliance and regulatory requirements within healthcare