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Collections Specialist, Patient Financial Services (Credit - Collections Clerk I)


Northridge, CA
Job Code:
  • Financial Services
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Job Details

Company Medtronic
Job Title Collections Specialist, Patient Financial Services (Credit - Collections Clerk I)
JobId 34493
Location: Northridge, CA, 91325, USA

Collections Specialist, Patient Financial Services (Credit - Collections Clerk I)


Northridge, California, United States

Requisition #:


Post Date:

Sep 27, 2017

As a key member of the Patient Financial Services (PFS) customer care team, responsible for all aspects of credit reconciliation and refund activities, including customer service with an objective of minimizing Medtronic financial liability.

Following prescribed procedures and desk guidelines, performs a variety of reconciliation activities relating to general healthcare guidelines to refund amounts owed for overpayments, returned products, and audits. Verifies accuracy of refund requests (patient and payor related), as well as, other healthcare financial accounting documentation or records. Enters data into computer systems using defined computer resources and programs. Compiles data and prepares a variety of reports. May reconcile records with PFS team members and leaders; communicates with external vendors and customers (including representatives of health plans/payors.) Recommends actions to resolve discrepancies; investigates questionable data.

Executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and ultimately company-wide financial impact.

A Day in the Life:

Initiates follow-up activities with third-party payors regarding credit balances; makes written and verbal inquiries to payors. Analyzes and problem solves credit balance issues to full resolution.

Reconcile claims/accounts to complete resolution, performing adjustment requests and updating patient accounts/claims within the AR system, utilizing appropriate transactions and consistently formatted notes that support future account resolution efforts and inquiries at both the insurance and customer (ie. selfpay) levels.

Provides support for inquires from internal and external customers regarding credit balances and refunds. Maintains updated information on patient accounts.

Handles internal and external customer inquiries regarding credit account status/history and refunds.

Researches issues off-line as needed with payor to resolve overpayments, patient returns for refunds, and live check returns; conducts follow-up calls with payors to resolve credit balances, refund issues, and retraction requests.

Meets or exceeds key performance indicators measuring productivity, quality, and service level as defined by Senior Management.

Actively participates in team initiatives and in team status meetings.

Additional team activities, projects, and work flow as assigned.

Service Excellence:

oWorks to identify ways to and initiate processes that work towards enhanced credit and collections, and improving service levels to both internal and external customers.

oActively participates in process and service improvement activities.

oEncourages and supports staff members in the pursuit of service excellence.

Must Haves:

• High School Diploma or GED

• Minimum of 1 year insurance verification (including benefits, eligibility, and authorization), or billing/collections experience in a medical group, health care company, or hospital setting, or accounting experience

• Experience with various insurance plans offered by both government and commercial insurances (i.e. PPO, HMO, EPO, POS, Medicare, Medicaid, HRA’s) and coordination of healthcare benefits, including requirements for referral, authorization, and/or pre-determination.

• Experience with MS Office (Word, Excel, Outlook)

Nice to Have:

Experience with reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence, and in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms.

Experience with reviewing and analyzing insurance payments, and/or payor adjudication of claims against contract terms and patient coverage and benefits.

Experience with medical billing and collections terminology – CPT, HCPCS, and ICD-10 coding.

Experience with HIPAA guidelines and healthcare compliance.

Good customer service skills with ability to interact with both internal and external customers, i.e. patients, insurance payors, doctors, internal departments and handle in a professional manner with customer-friendly focus and attention to detail in resolving issues.

Proficiency in navigating multiple screens and programs at the same time in order to facilitate problem solving, and other activities that require multi-tasking.

Ability to maintain composure, and to follow instructions and protocols when dealing with unfamiliar or unusual payor / customer issues.

Demonstrated ability to present information in a clear, concise, and grammatically correct manner both verbally and in writing.

Demonstrated collaboration skills (including active listening skills, presentation skills) and proven ability to work effectively in a diverse, inclusive organization and environment.

Demonstrated ability to accept and carry out oral and written instructions accurately.

Demonstrated ability to prioritize work, handling daily and multiple tasks to completion within the time allotted, while working as part of a team within a demanding environment.

Ability to prepare forms, spreadsheets, and graphs.

Experience in a payor or medical provider community that deal with all aspects of the revenue cycle.

Experience in a large corporate (even matrixed) environment

Internal candidates, minimum 4 months of experience working in Medtronic PFS department

Previous work experience with GE Centricity

Physical Requirements:

•The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

•While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers.

Ability to sit/stand/walk 8 hours per day

Ability to hear and speak clearly

Ability to sit for extended periods of time - up to six (6) hours at a time

Ability to work on a computer for extended periods of time – up to six (6) hours at a time

Ability to occasionally lift up to 10 lbs

Position is in a typical office environment

Ability to be flexible with working hours given adequate notice.


Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We can accelerate and advance our ability to create meaningful innovations – but we will only succeed with the right people on our team. Let’s work together to address universal healthcare needs and improve patients’ lives. Help us shape the future.


It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:


The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position

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