Collections Specialist
hace 13 días
Houston
Job Description OVERVIEW: At Lymphedema Therapy Specialists, Inc. (LTS), we believe our work is more than just a job, it’s a calling. Our mission is rooted in a deep commitment to serve our patients and one another with compassion, integrity, and excellence. Everything we do is guided by faith, love, and unity — values that shape our culture and define how we care for others. We are a team driven by generosity offering our time, talents, and resources wholeheartedly to meet the needs of our patients and community. Excellence matters to us, not only in our clinical care but in every interaction and task, big or small. We listen with empathy, communicate with kindness, and strive to heal lives physically, emotionally, and spiritually. At LTS, every individual is seen, valued, and empowered. We believe in investing in our people, encouraging both personal and professional growth as each team member steps more fully into their God-given purpose. We honor the unique contributions of our staff, recognizing their work as a blessing to those we serve. Joining LTS means becoming part of a mission-driven team united by faith and purpose. If you’re seeking a role where your work has meaning and your gifts can truly make a difference, you’ll find a home here. Welcome to a place where healing happens for our patients, our team, and our community. We encourage you to visit our website at https://lymphedemateam.com before applying to learn more about our company, culture, and mission. JOB SUMMARY: At Lymphedema Therapy Specialists, Inc. (LTS), the Collections Specialist plays an essential and mission-aligned role in supporting our commitment to serve patients and one another with excellence, compassion, and integrity. This position is vital to the financial health of our organization and helps ensure that our services remain accessible to those in need of healing and hope. The Collections Specialist focuses on medical collections by providing complete claims resolution through diligent follow-up on all outstanding claims and ensuring their accurate and timely processing. This role requires professionalism, critical thinking, and a service-minded approach when engaging in often sensitive financial conversations with patients and insurance providers. Above all, the Collections Specialist must embody a servant mindset — someone who reflects our core values of love, unity, generosity, and excellence in every interaction. In addition to direct financial duties, this position is responsible for appealing and disputing denied claims, resolving billing discrepancies, and utilizing EHR/EMR systems and provider portals with confidence. The Collections Specialist works closely with administrative staff, billing personnel, and leadership to identify obstacles in reimbursement processes and implement improvements that support the overall patient experience and organizational health. The ideal candidate will demonstrate exceptional attention to detail, strong interpersonal skills, a heart for serving patients with empathy and respect, and a clear understanding of how their role fits into the broader mission. If you’re passionate about helping others by stewarding financial processes with integrity and grace, this position offers a unique opportunity to contribute to a purpose-driven team that restores hope and healing every day. JOB DUTIES AND RESPONSIBILITIES: • Review, submit, and monitor insurance claims for accuracy and timely processing., • Follow up with insurance carriers on unpaid, delayed, or denied claims using phone calls, online portals, and written correspondence., • Interpret Explanations of Benefits (EOBs), remittance advice, and denial codes to determine appropriate follow-up actions., • Prepare and submit appeals or disputes for denied or underpaid claims, including proper documentation and coding adjustments., • Track claim status and maintain accurate records in EHR/EMR systems and billing software., • Communicate professionally and compassionately with patients regarding outstanding balances., • Establish, monitor, and manage patient payment plans in compliance with office policies., • Process and record patient payments, including copays, coinsurance, and deductibles., • Respond to patient inquiries related to billing, insurance coverage, and account activity., • Ensure all communication is HIPAA-compliant and maintains patient confidentiality., • Collaborate with front office, billing staff, and clinic leadership to resolve billing discrepancies, charge entry issues, and payment posting errors., • Identify trends in denials or delays and escalate recurring issues that impact reimbursement., • Assist with month-end closing tasks, including reconciling accounts receivable and preparing aging reports., • Audit patient accounts to verify accuracy and ensure timely resolution of balances., • Maintain current knowledge of payer guidelines, CPT/ICD-10 coding standards, and healthcare reimbursement protocols., • Adhere to all federal, state, and payer regulations including HIPAA, FDCPA, and CMS requirements., • Accurately document all collection efforts, account notes, and correspondence in billing systems., • Participate in regular team meetings, training sessions, and strategy planning within the Revenue Cycle Department., • Share insights and best practices with colleagues to improve department efficiency and outcomes., • Contribute to a team culture centered around problem-solving, integrity, and a shared mission to support patient care through effective revenue stewardship., • Demonstrate alignment with the spiritual mission of LTS by modeling compassion, service, humility, and excellence in every interaction., • Execute various tasks, as assigned by your manager, supervisor, or company officer, whether within your standard duties or as requested beyond regular responsibilities. QUALIFICATIONS: Education & Licensure: • High School Diploma or equivalent. Work Experience: • 5+ years of experience in medical collections or a similar role within a healthcare billing or revenue cycle environment strongly preferred., • Proven experience using Electronic Health Records (EHR) and Practice Management software required; ability to navigate systems efficiently and accurately is essential., • Background in insurance verification and billing processes is highly preferred, including familiarity with payer policies, coverage requirements, and claims workflows., • Experience with AdvancedMD software is a strong plus. Skills: • Strong verbal and written communication skills; able to interact professionally with patients, families, payers, and healthcare team members., • Highly organized with exceptional attention to detail and accuracy in managing patient accounts and documentation., • Proven ability to prioritize tasks, manage multiple responsibilities, and meet deadlines in a high-volume, fast-paced environment., • Solid understanding of HIPAA and other relevant healthcare regulations; committed to maintaining confidentiality and ethical standards., • Works well in a team-oriented environment; collaborates effectively with peers and leadership to achieve department goals., • Flexible and responsive to changing priorities; maintains composure and professionalism under pressure., • Alignment with the mission, vision, and core values of LTS, including integrity, service, and excellence. Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer (typically 6–8 hours per day)., • Frequent use of hands and fingers for data entry, typing, and handling paperwork., • Visual acuity required to read and interpret printed and electronic documents, insurance forms, and billing codes., • Hearing ability to effectively communicate via phone and in person with patients, team members, and insurance representatives., • Occasional reaching, bending, or lifting of lightweight office supplies, files, or equipment (typically up to 10–15 lbs)., • Manual dexterity to operate office equipment such as computers, printers, copiers, phones, and calculators., • Ability to maintain focus and attention to detail for extended periods, especially when reviewing financial and billing records., • Mobility to move around the office to retrieve files, interact with coworkers, or attend meetings. Tools and Equipment Used: Technology & Administrative Tools: • Electronic Health Record (EHR) systems (e.g., AdvancedMD), • Practice Management Systems (PMS) for billing and scheduling, • Insurance Payer Portals for claim submissions, verifications, and appeals, • Clearinghouse platforms (e.g., Availity, Waystar) for claim submissions and remittance tracking, • Desktop and laptop computers, tablets, • Office equipment: printers, phones, fax, scanners Position Classification: • This is an hourly, non-exempt position and is eligible for overtime pay., • Compensation is competitive and commensurate with experience, credentials, and qualifications., • Additional benefits may include paid time off, health insurance, professional development support, and other offerings consistent with company policy. Benefits: • Competitive salary ($23.00 - $27.00 DOE), • Health, dental, and vision insurance, • 401(k) with company match, • Paid time off (vacation, sick leave, and holidays), • Professional development and training support, • Employee assistance program (EAP) Lymphedema Therapy Specialists, Inc. is an equal opportunity employer and complies with all applicable federal, state, and local laws. This includes, but is not limited to, compliance with the Americans with Disabilities Act (ADA), ADA Amendments Act (ADAAA), Fair Labor Standards Act (FLSA), and Title VII of the Civil Rights Act of 1964. We are committed to creating a respectful, inclusive, and safe work environment for all employees.
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