Medical Collector / Accts Receivable Specialist

Surgery Partners, Inc•Los Angeles, CA

About The Position

The Medical Collector / Accounts Receivable Specialist is responsible for handling all aspects of insurance claims and denials, as well as checking the status of claims for healthcare services. This role involves reviewing billing information, debt, and unpaid insurance claims, contacting insurance companies with outstanding bills to determine payment status, and providing correspondence and appeals for denied claims. The specialist will also organize, research, and prepare appeals, contact patients with outstanding bills to arrange repayment plans, and provide detailed reports to management.

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
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
Ability to handle multiple projects in parallel with one another, including during deadline periods
Self-starter; able to work effectively with limited supervision
Regular attendance habits
Strong expertise with spreadsheets and accounting systems

Responsibilities

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
Developing financial systems and procedures
Determining patient financial responsibility as determined by the insurance company from EOBs, contract language
Writing effective appeals in collaboration with physicians for medical necessity
Other responsibilities as the business grows