Job Summary:

Seeking an experienced Medical Collections/Accounts Receivable Specialist to join our Accounts Receivable Department. Candidates should possess relevant work history within a healthcare setting, excellent job stability and tenure of a minimum of 3 years’ experience in healthcare payment recovery from commercial, government and Workers Compensation payers, including patient collections. This position is responsible for contacting medical insurance carriers on claim resolution and to respond to claim denials or underpayments through our appeals process.

SPECIAL SKILLS AND ABILITIES REQUIRED:

• Identifies delinquent accounts, aging period, and payment sources.
• Reviews each account via reports and other sources with an average productivity of 50 accounts per day.
• Reviews insurance balances. Performs collection actions including appeals and resubmitting claims.
• Resolves incoming patient calls.
• Reports to regular staff meetings as directed.
• Maintains strictest confidentiality. Excellent customer service skills.
• Tactfulness in dealing with insurance companies and patients regarding accounts in both verbal and written communications while always being professional and courteous.
• Resolves all incoming insurance correspondence pertaining to denials, incorrectly processed claims.
• Other duties as assigned by Direct Report.

KNOWLEDGE, PRACTICAL EXPERIENCE, AND EDUCATION REQUIRED:

• High school diploma or equivalent.
• Must have good business writing skills.
• Must be well organized and detail oriented.
• Proficient in windows environment experience.
• Medical claims experience that includes knowledge of the following: Account collections, EOB review and analysis, appeals processes Pre-certification and referrals Payment processing Rules and regulations of managed care organizations and government payers, State laws pertaining to payment of claims .
• Able to understand managed care contracts, NCCI claims edits, medical policy requirements, by using provider manuals and other resources.

Application Question(s):

• How many years of AR experience do you have ?

Job Type: Full-time

Pay: From $22.00 per hour

Expected hours: 40 per week

Benefits:

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

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Office

Ability to Relocate:

• Dallas, TX 75248: Relocate before starting work (Required)

Work Location: In person