Collections Specialist

Cenikor - Houston, TX

Full-time - Entry Level

Houston, TX

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

The Collections Specialist at Cenikor is responsible for managing patient accounts, ensuring accurate billing and collections, and providing excellent customer service. This role involves reviewing coding information, resolving outstanding balances, and maintaining communication with patients and insurance companies. The position emphasizes service to others and offers opportunities for professional growth within a supportive team environment.

Responsibilities

• Conduct general financial management of patient accounts.
• Review coding information for procedures performed and diagnosis on charge, comparing to payor specific coding rules.
• Research, analyze and resolve outstanding customer/insurance balances to ensure claims payment.
• Work and communicate with supervisor, managers and all insurance staff regarding claims billing changes or trends.
• Appeal and resolve outstanding claims resulting from denials, wrong insurance, etc.; escalate appeals to all available insurance companies.
• A/R collection efforts, file proof of claims and handle legal/TDI correspondence.
• Post insurance & patient payments accurately and assist supervisor/manager in resolving disputes.
• Handle patient account inquiries by researching, resolving or referring to the manager.
• Work directly with patients to resolve past due self-pay balances, and meet deadlines and goals on a consistent basis.
• Conduct follow up calls to maintain patient balances and/or payment arrangements; locate and notify insurance patients and other payers' accounts by mail, telephone, email, and any other means necessary to solicit payment.
• Review and document work performed/action taken on AR Aging Report amounts on the over/under payment report; contact payer or patient as appropriate.
• Maintain fax logs, phone logs for insurance reference.
• Audit contractual adjustments and ensure that the approval process for adjustments is followed.
• Prepare, review and send patient statements.
• Uphold the core principles of Cenikor's culture and create a positive working environment for all team members.

Requirements

• Knowledge of medical billing, coding and collections.
• Skilled in customer service.
• Excellent listening and phone skills.
• Fast problem solver and able to multi-task.
• Possess excellent organization skills and high attention to detail.
• Ability to work in a team environment.
• Knowledge of Microsoft Office software required, including specific MS Outlook calendar experience.
• Ability to consistently uphold the Core Principles of Cenikor's Culture.

Benefits

• Competitive pay
• Medical, Dental, Vision insurance
• Basic Life & AD&D insurance
• Long-term and Short-term Disability insurance
• Accident and Critical Illness insurance
• Health Reimbursement Account/Flexible Spending Account
• Tuition reimbursement ($2k - $4k)
• 401K with up to 10% matching
• Bonuses
• Student loan forgiveness through Public Service Loan Forgiveness (PSLF)
• Continuous learning and professional development opportunities