The Medical Collections Specialist will work in the billing and collections department. This position will be responsible for insurances such as Medicare, Commercial, Workers Comp, and No Fault. This is a non-management position.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Some of the essential responsibilities of the position are below, however not limited to:
- Monitor the timely filing of claims
- Provide expertise on Explanation of Benefits (EOBs), electronic payment remittance (EPR), electronic funds transfer (EFT).
- Process account adjustments and credit balance refunds.
- Denial Management by investigating the reasons for denials, finding denial management strategies and when necessary appealing denials
- Develop payor processes to reduce the denials of claims
- Process appeals and submit to payors
- Other duties may be assigned
KNOWLEDGE AND SKILLS REQUIREMENTS:
- Excellent working knowledge of primary and secondary insurance claims
- Experience handling a wide variety of payers from multiple states and markets
- Ability to work independently, and work in a challenging environment.
- Excellent computer skills (Word, Excel, Outlook)
- Denial management and persistent claims follow up skills
- Ability to meet daily productivity goals and other tasks and metrics as assigned
- Ability to follow all company policies and procedures
- Ability to act ethically and within the guidelines of company compliance policies and code of conduct
Job Types: Full-time, Part-time
Pay: $18.00 - $21.00 per hour
Expected hours: No less than 25 per week
Benefits:
Schedule:
Work setting:
Experience:
- ICD-10: 1 year (Preferred)
Work Location: Remote