Collection Specialist will communicate with US healthcare stakeholders and handle all unresolved claims inquiries and/or issues over a call and are responsible for following company collection policies and procedures.  Collection Specialist may also work with outside agencies, vendors, and clients to maintain the company’s payments.  All the necessary training related to payment processing and other functions required for the role will be provided.

Roles & Responsibilities  

• Complete payment processes timely and accurately according to industry best practices and pre-defined standards
• Analyze and properly resolve assigned claims in a timely manner
• Communicate with physician’s offices, patients, and management to achieve resolution of issues and claims status
• Accurately verify insurance benefits related to claims
• Ensure insurance benefits are updated
• Process required adjustments on the claims according to department protocol
• Properly appeal claims as needed
• Obtain medical records and other documents from appropriate resources as needed for claims payment
• Other tasks as assigned by management