Collections Specialist

  • Remote - Philippines

Remote

All Others

Mid-level

Job description

MedCore Solutions is seeking a highly skilled Collections Specialist with a background in Ophthalmology/Optometry to join our dedicated team. In this role, you will be responsible for managing the accounts receivable process, ensuring timely collections of outstanding payments, and maintaining positive relationships with patients and insurance providers. You will leverage your knowledge of the Ophthalmology/Optometry field to address billing inquiries and resolve disputes. Your expertise will contribute to our mission of providing exceptional healthcare administrative services.

Responsibilities

  • Manage and oversee the collections process for Ophthalmology/Optometry accounts.

  • Communicate effectively with patients and insurance carriers regarding outstanding balances.

  • Investigate and resolve discrepancies for denied claims.

  • Develop payment arrangements with patients, monitor payments, and follow-up on delinquent accounts.

  • Maintain accurate records of collections interactions and update accounts accordingly.

  • Collaborate with front office staff to ensure timely and accurate submission of claims.

  • Adhere to all legal and compliance regulations regarding patient accounts.

  • Prepare reports on accounts receivable status and collection activity.

  • Minimum of 2 years of experience in Collections, specifically in the Ophthalmology/Optometry field

  • Strong knowledge of medical billing and collections processes

  • Familiarity with Ophthalmology/Optometry billing codes and terminology

  • Ability to effectively communicate with patients and insurance providers

  • Detail-oriented with strong analytical and problem-solving skills

  • Proficient in using medical billing software and Microsoft Office Suite

  • Exceptional customer service skills and ability to maintain professionalism

  • Strong organizational skills and ability to manage multiple accounts simultaneously

Key Performance Indicators

  • Achieve a monthly target for collections
  • Maintain a low rate of account aging
  • Reduce the number of denials and rejections
  • Improve patient and provider satisfaction ratings

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

  • Permanent Work From home
  • Permanent Weekends Off
  • Great Company Culture and No Micromanagement
  • Specialized Training
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