Praesum Healthcare:
Position Title: Medical Collections Specialist
Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics, and several diagnostic reference laboratories.
Medical Collections Specialist Job description:
This position is responsible for performing payment follow-up and collection activities on patient accounts as assigned. The Medical Collections Specialist will have to call patients directly and attempt to collect on the medical bills that they owe. The successful candidate has excellent written and verbal communication skills while being professional yet assertive. Highly effective organizational skills are required for accuracy and timely gathering of data. This fast-paced position requires a high attention to detail. Prior knowledge of insurance claims verification and or filing is a plus.
Medical Collections Specialist Duties/Responsibilities:

• Aggressively seek final resolution on all denied medical claims.
• Provide ongoing appropriate collection activity on appeals until the payer has responded to the appeal.
• Review contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed.
• Resolve any incoming phone inquiries from insurance providers requesting medical records and/or letters of medical necessity.
• Research, compile, and respond to documentation requests from insurance carriers in a timely basis.
• Contact insurance carriers to collect on zero paid account balances.
• Responsible for documenting ANY and ALL activities, contact, and communication with insurance companies in the system.
• Review EOBs Identify payer specific billing requirements.

Medical Collections Specialist Requirements:

• High School Diploma or GED equivalent
• AA Degree or Vocational training preferred in a related field
• A minimum of 2-3 years of experience in a medical collection role- communication with both patients and insurance companies
• Individual must be computer literate with proficiency in Microsoft Office applications.
• Customer Service skills/experience 1-2 years
• Analytical skills
• Knowledge of Medical Terminology and medical coding

Medical Collections Specialist Schedule:

• Full Time
• Monday - Friday
• 8:00AM - 4:30PM

Medical Collections Specialist Compensation:

• Hourly rate competitive with experience

Full time employees may be eligible for the following:

• Insurance: Medical, Dental, Vision, and STD options
• Medical FSA and Dependent Care Account
• 401k with company match up to 5%
• Accrued Paid Time Off (PTO)
• Education reimbursement
• Career Advancement Opportunities

*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***
If you are interested in this opportunity or know someone that you respect who would be a good fit for this position, please email:
Clay- Clay@praesumhealthcare.com Healthcare Recruiter
James- James@praesumhealthcare.com Healthcare Recruiter
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