Patient Collections Specialist - Medical Billing

Yosemite Pathology is a private independent pathologist owned and operated surgical pathology and cytology laboratory based in Modesto, CA. YP provides comprehensive state of the art, reliable, and accurate diagnostic services to its physicians and major area hospitals in the Alameda, Amador, Calaveras, Contra Costa, Kern, Mariposa, Merced, San Joaquin, Solano, Stanislaus and Tuolumne counties.

YP offers a full spectrum of tissue pathology, cytology, and histology services, including examination of gynecologic specimens, body fluids and fine needle aspiration specimens. We also offer an extensive array of special stains and immunohistochemistry to assist in the management of oncologic and non-oncologic diseases. The laboratory is supported by highly qualified Histotechnologist, Cytotechnologist, Technicians and office staff who offer excellent service.

Shift: Monday- Friday 8:00 am- 5:00 pm

Summary/Objective

The Patient Collections Specialist is responsible for managing outstanding patient balances, ensuring timely collections, and providing excellent customer service related to billing inquiries. This role supports revenue cycle operations by maintaining strong communication with patients, monitoring account aging, and implementing effective collection strategies while adhering to company policies and regulatory requirements.

Essential Functions

• Respond to patient messages and voicemails in a timely and professional manner
• Maintain established performance metrics and key performance indicators (KPIs)
• Perform timely follow-up on outstanding patient balances and aging accounts
• Provide support and guidance to patients regarding billing questions and payment options
• Answer inbound calls and make outbound calls to collect on outstanding balances
• Establish payment arrangements in accordance with financial policy guidelines
• Maintain accurate logs of promised payments and active payment plans
• Process patient payments over the phone securely and accurately
• Submit insurance claims promptly and accurately when applicable information is provided
• Remove accounts from third-party collections when balances are resolved
• Process and mail patient refunds, ensuring proper account documentation
• Resolve returned mail and update patient billing information as needed
• Contact patients to obtain updated payment information for declined or insufficient payments
• Assist with reconciliation of patient payments and support payment posting functions
• Support client collections and assist other billing team functions as needed
• Perform additional billing and administrative duties as assigned

Job Requirements and Skills

• Respond to patient messages and voicemails in a timely and professional manner
• Maintain established performance metrics and key performance indicators (KPIs)
• Perform timely follow-up on outstanding patient balances and aging accounts
• Provide support and guidance to patients regarding billing questions and payment options
• Answer inbound calls and make outbound calls to collect on outstanding balances
• Establish payment arrangements in accordance with financial policy guidelines
• Maintain accurate logs of promised payments and active payment plans
• Process patient payments over the phone securely and accurately
• Submit insurance claims promptly and accurately when applicable information is provided
• Remove accounts from third-party collections when balances are resolved
• Process and mail patient refunds, ensuring proper account documentation
• Resolve returned mail and update patient billing information as needed
• Contact patients to obtain updated payment information for declined or insufficient payments
• Assist with reconciliation of patient payments and support payment posting functions
• Support client collections and assist other billing team functions as needed
• Perform additional billing and administrative duties as assigned

Compensation and Benefits:

• The compensation range is $43,680 - $56,160 annually (non-exempt) paid semi-monthly on an eight (8) hour per day, forty (40) hour per week. Final salary offer subject to multiple factors including candidate experience and expertise, geographic location of the role, and current market data.
• 401(k) includes an employer match up to 4%
• Robust health plans including dental, vision, life, and mental health support.
• Offer generous annual vacation and sick time
• 10 paid holidays
• Annual scrub allowance for Lab roles

All offers of employment at Yosemite Pathology are contingent upon clear results of a thorough background check. Background checks will be conducted on all final candidates.