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.