Medical Collector / Accts Receivable Specialist

JOB TITLE: Medical Collector / Accounts Receivable Specialist

JOB SUMMARY:

Medical Collectors are responsible for handling all parts of insurance claims and denials, as well as checking the status of claims for healthcare services. The duties may include:

• Reviewing billing information, debt, and unpaid insurance claims
• Contacting the insurance company with outstanding bills (Medicare, PPO, HMO etc) to determine payment status
• Providing correspondence and appeal denials and following up on appeals in process
• Organizing, researching, and preparing appeals
• Contacting patients with outstanding bills to determine a repayment plan
• Providing detailed reports to management

EDUCATION/REQUIREMENTS:

• High School Diploma or Equivalent
• 2 years of medical collections experience required
• Good verbal and written communication skills
• Knowledge of computers with experience in windows-based systems and Microsoft Office
• Experience with medical practice billing software necessary
• Proficient in medical terminology
• Ability to communicate effectively with center management, center staff, patients, their families, the physicians, and their staff
• Ability to handle frequent interruptions that result in having to re-evaluate priorities
• Detail oriented

KNOWLEDGE AND SKILLS:

• Has initiative, resourcefulness, analytical ability, problem solving skills, and can deal effectively and harmoniously with all groups and individuals
• Must be able to communicate articulately, comprehend written and verbal communications; and must be able to function effectively in a fast-paced work environment
• Experience in developing financial systems and procedures
• Ability to handle multiple projects in parallel with one another, including during deadline periods
• Ability to determine patient financial responsibility as determined by the insurance company from EOBs, contract language
• Effective appeal writing skills in collaboration with physicians for medical necessity
• Self-starter; able to work effectively with limited supervision
• Regular attendance habits
• Strong expertise with spreadsheets and accounting systems
• Other responsibilities as the business grows

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.