Medical Collections Specialist
About The Position
General Description: Responsible for a combination of medical billing and collections. Essential Functions Include but are not limited to: Enter patient demographics from hospital EHR into our PM system. Post charges for assigned facilities. Work electronic insurance rejects daily to retransmit with corrected insurance information. Enter notes in the collection system of action taken. Communicate information needed for collections to the Director, RCM. Answer questions from patients, staff, and insurance companies. Identify and resolve patent billing complaints Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Follow-up on unpaid claims within standard billing cycle timeframe. Send reconsiderations and appeals through insurance portals. Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations. Other duties as assigned.
Requirements
- High School diploma or GED.
- Two plus years billing/collecting in the health care field is required.
- Knowledge of medical billing/collection practices.
- Knowledge of basic medical coding and third-party operating procedures and practices.
- Ability to read, understand and follow oral and written instruction.
- Ability to establish and maintain effective working relationships with patients, employees, and doctors
- Must be well organized and detail oriented.
Responsibilities
- Enter patient demographics from hospital EHR into our PM system.
- Post charges for assigned facilities.
- Work electronic insurance rejects daily to retransmit with corrected insurance information.
- Enter notes in the collection system of action taken.
- Communicate information needed for collections to the Director, RCM.
- Answer questions from patients, staff, and insurance companies.
- Identify and resolve patent billing complaints
- Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Follow-up on unpaid claims within standard billing cycle timeframe.
- Send reconsiderations and appeals through insurance portals.
- Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations.
- Other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
