Collections

• Performs a variety of collection activities including collection calls, correspondence, negotiating payment plans, and maintaining records of all communication.
• Provides customer service regarding collections issues.
• Processes customer refunds, processes and reviews account adjustments, and resolves client discrepancies.
• Responsible for collection of highly complex/difficult accounts and situations.
• Prepares weekly and monthly updates and status reports of outstanding delinquencies.
• Provides financial counseling to discuss and resolve debt situation within established limits.

Senior Collections Specialist

• The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts.
• Oversees the account receivables and maintain detailed/accurate account documentation.
• Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
• Identify and complete Medical Necessity appeals
• Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
• Report all payor issues and/or denial trends to Lead/Supervisor
• Work cross-functionally to complete multiple department assignments
• Review, document, and resolve all incoming correspondence, payor calls, and payments; Assist as needed
• Assist in continuous training and cross-functional efforts

Billing and Collections Specialist – Level 3

• Responsible for the timely follow-up of claims billed and resolution of accounts
• Oversees the account receivables and maintain detailed/accurate account documentation
• Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
• Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
• Review, document, and resolve all incoming correspondence, payor calls, and payments
• Assist as needed
• Report all payor issues and/or denial trends to Lead/Supervisor
• May work cross-functionally to complete multiple assignments

Billing and Collections Specialist, Level 2

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Collections Specialist

• Contacting and managing the accounts of past residents who owe AMH a balance
• Negotiating repayment terms and setting up payment arrangements
• Disputing charges and ensuring payments are made in accordance with signed agreements
• Documenting activity in CRM database
• Performing administrative duties such as noting accounts, managing profiles, and updating records
• Attending meetings and participating in growth and development opportunities including coaching and attending training

Internal Collections Representative

• Coordinates and facilitates patient billing and collection activities
• Researching and holding payers accountable
• Resolving outstanding issues with insurance payers
• Builds strong working relationships with assigned business units
• Responds to incoming calls and makes outbound calls to resolve billing issues
• Works independently under general supervision

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