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Idaho Staffing

Recipient Account Collections Specialist

Idaho Staffing, Boise, Idaho, United States, 83708

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Patient Collections Specialist

Cochlear is helping people hear, and be heard, all over the world. Come be a part of our amazing mission and join the number one most trustworthy company in the healthcare industry as recognized by Newsweek in its 2024 rankings of the Worlds Most Trustworthy Companies! If you know Recipient Account Collections, this is a fantastic opportunity to join the Reimbursement & Insurance Services team at the global leader in implantable hearing devices! In this role, you will be working fully remote supporting our Cochlear Americas region. The Patient Account Specialist (Recipient Account Specialist) is responsible for providing exceptional service to all customers (internal/external) by acting with a sense of urgency to perform collection follow-up with patients (referred to as recipients) regarding open accounts receivable and/or delinquent accounts while demonstrating a high degree of knowledge, integrity, and empathy in all aspects of team performance and operations. Primary responsibilities involve interacting with patients to pursue account resolution, explaining, and reviewing account activity with patients, extending payment options, and collecting payments. The Recipient Account Specialist performs comprehensive reviews and follow-up activities that facilitate cash collections. The key purpose of the Recipient Account Specialist is to pursue reimbursement of services rendered and achieve accounts receivable resolution. This team works through open accounts receivables (current and delinquent accounts) by actively taking patient phone calls or using web-based communication options. This position must effectively assist patients with sensitive and confidential issues, while supporting our obligation to collect. Representatives must be able to independently handle multiple tasks, including offline responsibilities in a fast-paced environment. Key Responsibilities

Responsible for review and resolution of the outstanding balances on patient accounts assigned. Actively work on all open patient balances from reimbursement or self-pay accounts to pursue payment and ensure accounts have been appropriately deemed patient responsibility. Perform various collection actions including contacting patients by phone and via email, processing patient payments and payment plans, generating and sending out invoices and statements as necessary. Ensure collection conversations are in accordance with Cochlears policy and procedures and in compliance with all federal and state guidelines. Place and release credit holds on accounts as patient balances/unreturned processors are resolved, and flag accounts for 3rd party collections as needed. Review and recommend write off/adjustments of balances with management approval as appropriate. Initiate/process financial hardship approvals and perform approved adjustments to patient accounts. Participate in the Recipient phone queue and SFHC case queue. Update patient demographics as necessary to include personal and insurance information on file. Demonstrate ability to maintain composure when faced with difficult conversations that can be unpleasant. Demonstrate ability to remain compassionate when communicating with patients. And other duties as assigned. Key Requirements

5+ years of patient medical billing/collections work experience. Working knowledge of the medical collections process and basic A/R principles and 3rd party collections practices. Familiarity with Revenue Cycle Management as well as medical terminology, claims processing guidelines, and federal insurance regulations. Familiarity with commercial health insurance plans, Medicare, Medicaid, and full understanding of explanations of benefits. Proficient in Microsoft Office (Teams, Outlook, Excel, and Word). Ability to work in a fast-paced environment and balance/manage multiple, changing priorities. Follows through on commitments, meets deadlines, takes responsibility for actions, and shows consistency between words and actions. In role related tasks, identifies and communicates opportunities for improvement. Proven ability to work collaboratively and positively in a team environment to build strong, professional relationships. Must possess work rights in the United States to be considered. In addition to the opportunity to develop your knowledge and grow professionally, we offer competitive wages and benefits. Pay Range in the United States: $25.00 - $27.50 based upon experience, as well as an annual bonus opportunity of 5% of base salary. Exact comp