Medical Insurance Accounts Receivable Collections Specialist

Medical Insurance Accounts Receivable Collections Specialist

Olympic Sports and Spine (OSS) is looking for an experienced Medical Insurance A/R Collections Specialist. This on‑site position is responsible for medical insurance follow‑up to ensure accounts are appropriately billed and reimbursed. Duties include contacting assigned insurance companies to secure and expedite payments through the insurance follow‑up and appeals process. Experience in patient accounting functions, including billing, follow‑up, collections, patient concerns, cash application, and credit balance resolution, is preferred.

We want a candidate who excels at working in a fast‑paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients, and seeking a job with no weekends required (Monday – Friday 8 a.m. – 5 p.m.).

• Review patient financial information to verify that third‑party payer requirements have been met and financial coding is correct.
• Audit information on third‑party claim forms for accuracy and completeness; transmit claims to third‑party payers, including using a direct entry claims interface system.
• Prepare and input allowances and adjustments to patient accounts according to third‑party payer requirements and department procedures.
• Access major payers’ computer files online to obtain eligibility and claims processing information.
• Respond to inquiries from patients, third‑party payers, agencies, and other departments.
• Analyze unpaid third‑party claims to determine appropriate follow‑up action to ensure payment.
• Analyze third‑party contract reimbursement for accuracy.
• Contact patients and payers by telephone to resolve account balances.
• Process appropriate transactions to correct inaccurate account balances.
• Prepare correspondence to address account concerns.
• Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow‑up procedure based on departmental guidelines.
• Analyze financial information provided by patients to determine their ability to make payment; advise patients on appropriate payment plans.
• Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful.
• Process according to department procedure accounts which have been identified as returned mail, bankrupt, or deceased patients.
• Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances.
• Resolve credit balances through allowances, adjustments, or refunds to patients of third‑party payers.
• Perform related duties as required.
• Participate in educational activities and attend monthly staff meetings.

• Extensive insurance billing, follow‑up experience.
• Previous experience working in health care insurance follow‑up (preferred, but not necessary).
• Experience in patient accounts receivable/collections (preferred but not necessary).
• Strong interpersonal skills, sound judgment & decision‑making.
• Strong analytical skills.
• Effective written and oral communication skills.
• Capable of working independently.
• Ability to prioritize and organize daily tasks.
• Ability to always represent OSS professionally.
• Ability to communicate information effectively to payers, clients, and staff.
• Secure patients’ demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulations.

• Check out our benefits page for more information about our Benefits and Rewards:
• Matching 401(k)
• Health Insurance
• Dental and Vision Insurance
• Company‑wide celebrations and events!

Monday‑Friday (no weekends), from 8 a.m. – 5 p.m. This position is 100% on‑site at our…