Patient Collections Specialist

at Nationwide Vision
Mesa

Job Title: Patient Collections Specialist


We are looking for a knowledgeable Patient Collections Specialist to join our team, who possesses a high
degree of professionalism, excellent communication skills, is dependable, and able to work
independently.


Patient Collection Specialist Responsibilities:
 Communicate directly with patients regarding their financial responsibility for services provided
 Process payments received by patients via phone, payment program, or mail
 Document all calls timely and accurately in the patients accounts in the billing system as well as
documenting on tracking logs pertaining to the process
 Establish payment arrangements per company policy
 Contact insurance companies to check eligibility and benefits via phone or online portals
 Assist with other billing/collection duties, as needed which may include:
 Prepare, review, and transmit claims using billing software including electronic, website
submission, and paper claim processing
 Status unpaid claims within standard billing cycle timeframe
 Timely review/handling of insurance claim denials, exceptions, or exclusions
 Utilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or
open claims over 30, 60, 90, and 120 plus
 Ability to research and appeal denied claims
 Perform additional duties as requested by Supervisor or Upper Management Team

Requirements:
 Proven experience as a Patient Collection Specialist or similar role for 2+ years
 Experience with CPT and ICD-9/10; Familiarity with medical terminology
 Knowledge of billing procedures and collection techniques
 Computer experience is essential, including, but not limited to: practice management software,
clearing houses, MS Office, and spreadsheet applications
 Adhering to company standards of compliance with policies and procedures
 Strong written and verbal communication skills
 Keep Supervisor abreast weekly of any concerns or issues associated with accounts
 Detailed oriented
 Consistent production results
 Good problem solving and research skills
 Able to multi-task and meet deadlines