Job Information
MCG Health System Lead Collections Specialist in Augusta, Georgia
Lead Collections Specialist
Work Location: Augusta University Medical Center
Req Number: 34106
Department Name: 5200 Patient Accounts
Shift: Days/No Weekends
Position Status: Full Time
Employment Status: Regular
This button is used to apply to this position only.If you are attempting to apply to multiple positions, returnto the Search Results or Job Cart.Position Description
The Lead Collections Specialist plays a pivotal role in our healthcare environment, focusing on engaging with payers to efficiently resolve issues and expedite the payment of outstanding balances, payment variances, denied, and appealed claims.
Position Requirements
High School Diploma or GED and a minimum of 3 years of experience specifically in insurance follow-up, collections, or revenue cycle management within a healthcare setting. Demonstrated expertise in reading Explanation of Benefits (EOB), navigating insurance plans, understanding member eligibility, and interpreting medical billing intricacies. Proven track record in claims processing, reimbursement, and familiarity with overturning appeals. Proficient in utilizing industry-standard codes such as CPT, ICD10, UB04, and 837 terminologies for accurate documentation and communication. Excellent communication skills with a strong emphasis on clear and detailed notetaking in the system. Outstanding phone etiquette coupled with exceptional internal and external customer service skills.
Preferred Requirements
5 years or more of direct experience in insurance follow-up, collections, or revenue cycle management within a healthcare environment. Advanced proficiency in Microsoft Word and Excel for data analysis, reporting, and documentation. Demonstrated mastery in utilizing patient accounting technology solutions for streamlined processes and efficient workflows. Comprehensive understanding of commercial, government, and other insurance guidelines applications. AAHAM, HFMA or HealthStream Revenue Cycle Certification preferred.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.