Medical Collector / Accts Receivable Specialist

Surgery Partners Careers•Beverly Hills, CA

35d

About The Position

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 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.

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
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

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