Associate - Patient Collections

Who we are: 

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Rooted in the 100-plus-year legacy of its founding partners, the network spans the Northeast with 128 physicians, over 1100 employees, and 28 locations from Connecticut, New York, and Massachusetts

What you’ll do: Under general supervision, is responsible for a variety of office/clerical tasks relating to claims processing; contacts patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection.

Responsibilities/Duties:

• Identifies problem accounts with payers; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.
• Answers inquiries by phone regarding past-due accounts and medical insurance guidelines; research incorrect addresses for past-due accounts.
• Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party.
• Addresses unpostables and applies remittances.
• May contact attorneys, employers, and others necessary to obtain information for resolution of credit and collection matters.
• Prepares reports to identify and resolve accounts receivable and referral problems.
• Update the patient record with actions taken, results of call, and follow up measures if required.
• Provide excellent communication and service to answer questions, gather information and problem solve.
• Negotiate payment terms and methods.
• Composes routine correspondence, memos, letters, etc.
• Overcome consumer objections and offer suggestions to achieve payment results.
• Perform other duties as assigned in conjunction with the collection process.

Who you are:

Qualifications:

• High school diploma or GED is required.
• Minimum of two (2) years medical collections experience preferred.
• Knowledge of medical office procedures, policies, practices and medical terminology
• Previous experience with office equipment including copiers, fax machines and computers.
• Strong verbal and written communication skills.

• Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public.
• Knowledge of common safety hazards and precautions to establish a safe working environment.
• Must be customer service oriented.

• Must be detailed and organized.
• Ability to answer the telephone in a pleasant and helpful manner.
• Knowledge of Fair Debt Collection Practices Act (FDCPA) and Health Insurance Portability and Accountability Act (HIPAA) guidelines/regulations preferred.
• Ability to communicate clearly utilizing proper grammar and telephone etiquette.
• Protects patient confidentiality and sensitive patient information.
• Ability to communicate with concern, empathy, and care; treat consumer with dignity and respect at all times.
• Knowledge of medical records filing systems (both alphabetically and numerically) and procedures, policies including state and federal compliance of HIPAA and other regulatory policies
• Knowledge of computer systems and associated applications (hardware/software) in support of organizational, business and department functions
• Knowledge of proper grammar, spelling and punctuation, sentence structure and proofreading for accuracy
• Knowledge of insurance regulations, policies and procedures
• Good verbal and written communication skills
• Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public.
• Ability to react calmly and effectively in emergency situations.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to work with a diverse population, demonstrating patience and professionalism.
• Ability to maintain strict confidentiality on all patient issues.
• Must be a team player with a positive attitude.
• Ability and desire to represent the clinic in a professional manner.
• Position requires sympathy, tact and understanding in dealing with patients, physicians, and coworkers.
• Ability to adjust to various personalities.
• Ability to work with and without supervision and perform a variety of routine tasks.
• Willingness to accept responsibility for established procedures.

What we offer: 

• Excellent growth and advancement opportunities 
• Dynamic environment 
• Access to a diverse network of practitioners 
  • Broad infrastructure of tools and programs to enhance the employee experience.    
• Competitive Compensation 
• Generous PTO  

• Benefits package: health, dental, vision, 401(k), etc. 

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).