Medical Claims account receivable representative with w/3 years experience
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About The Position
We are seeking an experienced Medical Collections/Accounts Receivable Specialist to join our Accounts Receivable Department at OrthoEconomics in Dallas, TX. The ideal candidate will have a minimum of 3 years of relevant work history within a healthcare setting, demonstrating excellent job stability and tenure. This position is crucial for the recovery of healthcare payments from various payers, including commercial, government, and Workers Compensation, as well as patient collections. The successful candidate will be responsible for contacting medical insurance carriers to resolve claims and respond to claim denials or underpayments through our appeals process. In this role, you will identify delinquent accounts, assess aging periods, and determine payment sources. You will review each account using reports and other sources, maintaining an average productivity of 50 accounts per day. Your responsibilities will also include reviewing insurance balances, performing collection actions such as appeals and resubmitting claims, and resolving incoming patient calls. You will be expected to report to regular staff meetings as directed and maintain the strictest confidentiality in all dealings. Excellent customer service skills are essential, as you will need to tactfully communicate with insurance companies and patients regarding accounts, both verbally and in writing, while always maintaining professionalism and courtesy. You will also be responsible for resolving all incoming insurance correspondence related to denials and incorrectly processed claims, along with any other duties assigned by your direct report.
