We are looking for a motivated performer to join our Business Office team as an Insurance Collections Specialist with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid and Commercial plans. We are looking for a top performer with an extensive knowledge of billing, collections and reimbursement of claims processing.

This is a fast-paced environment committed to producing the highest quality work for our physicians.

Responsibilities:

Under the direction of the Business Office Manager, the Collections Specialist is responsible for follow up on delinquent claims. The majority of the claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret Medicare, Medicaid and Commercial claims is a must. You will be given tools to calculate allowable and required to determine appropriateness of reimbursement and appeal claims as necessary.

You will have extensive contact with insurance carriers of all types identifying accounts that have been under or over paid. All of these practices done in a professional and communicative manner per policies and procedures, guidelines, internal control measures and established goals. .

Candidate must be a team player and have the ability to communicate well with insurance carriers. Be able to manage accounts, work independently and in a productive manner. Projects a professional demeanor and appearance while maintaining the confidentiality of administration, patients, physicians and employees. Works under stress and in situations that demand patience and tact while providing impeccable service.

Qualifications:

3-4 years previous collections experience, with emphasis on healthcare insurance collections of all types.
Medical terminology.
Ability to work independently.
Excellent communication and interpersonal skills.
Skilled in time management and prioritization of work day.
Good customer service skills, always demonstrates professionalism.
Comfortable utilizing critical thinking skills.
High School Diploma or equivalency.
Proficient with Microsoft Office products.
Experience with electronic patient information systems.
NextGen EPM software experience a plus

ABOUT US

Houston ENT & Allergy Clinic is a 100 year-old Otolaryngology and Facial Plastic Surgery group practice serving the greater Houston area with 26 physicians and 12 clinical offices. Houston ENT & Allergy Clinic provides a progressive and dynamic work environment.

BENEFITS

Our competitive salary and benefits package includes medical, dental and vision insurance, matching 401(k) profit sharing plan, paid time off and life insurance.

For more information on our organization, please visit us at: www.houstonent.com

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Work setting:

• Office

Experience:

• Medical Insurance Collector: 5 years (Required)

Ability to Commute:

• Sugar Land, TX 77478 (Required)

Work Location: In person