Collections Specialist

• Arrearage Management: Monitor and resolve aged accounts receivable (A/R) for commercial payers, Medicare, Medicaid, and supplemental policies.
• Denial Management: Identify, appeal, and resolve denied claims specifically related to oncology services, such as chemotherapy administration, radiation therapy, and complex laboratory billing.
• Prior Authorization Verification: Review claims against prior authorization approvals to ensure technical billing compliance.
• Compassionate Collection: Contact patients regarding outstanding self-pay balances using sensitive communication tailored to individuals undergoing cancer treatment.
• Financial Counseling: Identify patients qualifying for financial assistance, foundation grants, or pharmaceutical co-pay assistance programs.
• Payment Agreements: Set up and monitor structured payment plans according to practice guidelines.
• Documentation: Maintain meticulous notes within the Electronic Health Record (EHR) and Practice Management (PM) systems.
• Compliance: Adhere strictly to HIPAA regulations, Fair Debt Collection Practices Act (FDCPA) guidelines, and internal financial policies.

Requirements:

• Experience: Minimum of 2–3 years of medical collections or billing experience, with a strong preference for oncology, hematology, or infusion center backgrounds.
• Knowledge Base: Deep understanding of ICD-10, CPT, and HCPCS codes unique to oncology.
• Software Skills: Proficiency with medical billing software (e.g., OncoEMR, Aria, Epic, or eClinicalWorks) and clearinghouses.