Medical Billing Collection

SIGNATURECARE EMERGENCY CENTER MASTER•Houston, TX

11d•$21 - $24•Onsite

About The Position

The Medical Billing Collector is responsible for the oversight of the medical collectors assigned to their team. The Collector II position will include weekly huddles with their team members, either in a group or individual setting, to review and verify performance and training needs. The Medical Billing Collector II position will require extensive knowledge of the Revenue Cycle internal collections process. A clear ability to effectively work with team members, identify and aid in correcting any training needs, and ensure production metrics are met daily, weekly, and monthly must be demonstrated.

Requirements

Minimum Education: High School Diploma/G.E.D.
Minimum 3+ Years of experience with insurance collections and follow-up.
Knowledge of both In-Network and Out-of-Network Facility and Physician Claims.
Knowledge of HIPAA, healthcare regulations, and compliance
Positive attitude, Team player, and ability to work independently.
Must have an understanding of Revenue Cycle, Claims Processing, and Denial Resolution.
Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Marketplace plans, and Humana.
Experience in preparing and submitting claims, facility, physician, and specialist.
Experience in reading, analyzing, and interpreting EOB’s from various insurance providers is a must.
Familiarity with identifying claims in need of appeal and the appeals process
Ability to clearly communicate claim follow-up and appeals status with insurance company representatives.
Demonstrates excellent problem-solving skills and negotiating skills.
Proven experience in a production-based environment with a concentration on meeting production standards.
Familiarity with computers and Windows PC applications such as Excel and Word, including the ability to learn new computer systems applications.
Type 45-60 WPM

Nice To Haves

Knowledge of EPower and Centricity is desired.
Prior leadership training or experience preferred.

Responsibilities

Work assigned claim volume timely and efficiently within corporate timeframes.
Follow all processes and procedures as set by the Training Coordinator and/or department leadership.
Understanding and staying informed of the changes in procedures, billing guidelines, and laws for specific insurance carriers or payers.
Initiating collection follow-up on all unpaid or denied claims with the appropriate insurance carrier.
Research, appeal, and resolve unpaid insurance claims.
Actively follow up and collect on all claims, including the resolution of any billing errors assigned, following established procedures.
Respond to correspondence from insurance carriers.
Provide oversight and direction within the assigned team.
Meet weekly with all team members via huddles or one-on-one training as approved by leadership.
Work to identify, correct, and sustain any issues with production, workflow, and training.
Handle escalation of issues from team members via phone, email, or in writing.
Provide weekly updates via written reports to leadership.
Work with the Training Coordinator and Leadership as necessary.
Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
Perform other duties as assigned by the department manager.